Jacqueline Petersen, OD is a medicare enrolled "Optometrist" provider in Jeffersonvlle, Indiana. She went to Indiana University - School Of Optometry and graduated in 2025 and has 0 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Associates Of Southern Indiana Pc, Eye Associates Of Southern Indiana Pc and her current practice location is
302 W 14th St Ste 100a, Jeffersonvlle, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 284-0660.
Jacqueline Petersen is licensed to practice in Indiana (license number 18004589A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629965496.
Healthcare Provider's Profile
| Full Name | Jacqueline Petersen |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 0 Years |
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| Location | 302 W 14th St Ste 100a, Jeffersonvlle, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Petersen attended and graduated from Indiana University - School Of Optometry in 2025
NPI Data:
- NPI Number: 1629965496
- Provider Enumeration Date: 06/23/2025
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002322344
- Enrollment ID: I20250723000734
Medical Identifiers
Medical identifiers for Jacqueline Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629965496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 18004589A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Eye Associates Of Southern Indiana Pc | 4183688310 | 24 |
| Eye Associates Of Southern Indiana Pc | 4183688310 | 24 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Petersen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline Petersen, OD 302 W 14th St Ste 100a, Jeffersonvlle, IN 47130-3751 Ph: (812) 284-0660 | Jacqueline Petersen, OD 302 W 14th St Ste 100a, Jeffersonvlle, IN 47130-3751 Ph: (812) 284-0660 |
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