Gregory Petersen, PHD in Roanoke, VA - Medicare Clinical Psychologist Provider

Gregory Petersen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Roanoke, Virginia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 2017 Jefferson St Sw, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 981-7097.

Gregory Petersen is licensed to practice in Virginia (license number 0810-002774) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275509804.

Contact Information

	Gregory Petersen, PHD
	2017 Jefferson St Sw, Roanoke, VA 24014-2419
	(540) 981-7097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory Petersen
Gender	Male
Speciality	Clinical Psychologist
Experience	25 Years
Location	2017 Jefferson St Sw, Roanoke, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gregory Petersen graduated from medical school in 1999

NPI Data:

NPI Number: 1275509804
Provider Enumeration Date: 02/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7113952367
Enrollment ID: I20090807000562

Medical Identifiers

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

Identifier	Type	State	Issuer
1275509804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810-002774 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3255

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. Gregory Petersen allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Gregory 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
Gregory Petersen, PHD 411 Washington Ave Sw, Roanoke, VA 24016-4217 Ph: () -	Gregory Petersen, PHD 2017 Jefferson St Sw, Roanoke, VA 24014-2419 Ph: (540) 981-7097

Reviews and Comments

Psychologist in Roanoke, VA

Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175
Mrs. Jillian Shillaber, LCP, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4346 Starkey Rd, Suite 1, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386

Gregory Petersen, PHD - Medicare Psychologist in Roanoke, VA