Deniece P Petersen, DPT in Broken Bow, NE - Medicare Physical Therapist Provider

Deniece P Petersen, DPT is a medicare enrolled "Physical Therapist" provider in Broken Bow, Nebraska. Her current practice location is 325 S 1st Ave, Broken Bow, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 872-5111.

Deniece P Petersen is licensed to practice in Nebraska (license number 2999) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083025571.

Contact Information

	Deniece P Petersen, DPT
	325 S 1st Ave, Broken Bow, NE 68822-0435
	(308) 872-5111
	(308) 872-5115

Map and Direction

Healthcare Provider's Profile

Full Name	Deniece P Petersen
Gender	Female
Speciality	Physical Therapist
Location	325 S 1st Ave, Broken Bow, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083025571
Provider Enumeration Date: 05/19/2014
Last Update Date: 04/21/2017

Medicare PECOS Information:

PECOS PAC ID: 5395965297
Enrollment ID: I20140926001902

Medical Identifiers

Medical identifiers for Deniece P Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083025571	NPI	-	NPPES
12685767	Other	NE	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2999 (Nebraska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Deniece P Petersen allows following entities to bill medicare on her behalf.

Provider Name	Faith Regional Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104854199 PECOS PAC ID: 8921902966 Enrollment ID: O20031121000464

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. Deniece P 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
Deniece P Petersen, DPT 325 S 1st Ave, P.o. Box 435, Broken Bow, NE 68822-0435 Ph: (308) 872-5111	Deniece P Petersen, DPT 325 S 1st Ave, Broken Bow, NE 68822-0435 Ph: (308) 872-5111

Reviews and Comments

Physical Therapist in Broken Bow, NE

Ginalee F Sinner, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Andrew Michael Bowin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Mcmeen Physical Therapy, Pc, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Errin M. Nelson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 S E St Ste 1, Broken Bow, NE 68822 Phone: 308-872-5800 Fax: 308-872-5803
Reynold C Mcmeen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Team Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Becky Jean Pearson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 South E St., Suite 1, Broken Bow, NE 68822 Phone: 308-872-5800 Fax: 308-872-5803

Deniece P Petersen, DPT - Medicare Physical Therapist in Broken Bow, NE