Dr Kirsten E Petersen, PHD in Wantagh, NY - Medicare Psychologist Provider

Dr Kirsten E Petersen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wantagh, New York. Her current practice location is 2389 Babylon St, Wantagh, New York. You can reach out to her office (for appointments etc.) via phone at (917) 991-1042.

Dr Kirsten E Petersen is licensed to practice in New York (license number 021715) 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 1831581594.

Contact Information

	Dr Kirsten E Petersen, PHD
	2389 Babylon St, Wantagh, NY 11793-4501
	(917) 991-1042
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kirsten E Petersen
Gender	Female
Speciality	Psychologist - Clinical
Location	2389 Babylon St, Wantagh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831581594
Provider Enumeration Date: 03/04/2015
Last Update Date: 10/09/2020

Medicare PECOS Information:

PECOS PAC ID: 4183911233
Enrollment ID: I20160919000063

Medical Identifiers

Medical identifiers for Dr Kirsten E Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831581594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	021715 (New York)	Primary
103TC0700X	Psychologist - Clinical	P95464 (New York)	Secondary

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. Dr Kirsten E Petersen allows following entities to bill medicare on her behalf.

Entity Name	Dr. Kirsten E. Petersen Psychological Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366067258 PECOS PAC ID: 2769898097 Enrollment ID: O20210310001903

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. Dr Kirsten E 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
Dr Kirsten E Petersen, PHD 2389 Babylon St, Wantagh, NY 11793-4501 Ph: (917) 991-1042	Dr Kirsten E Petersen, PHD 2389 Babylon St, Wantagh, NY 11793-4501 Ph: (917) 991-1042

Reviews and Comments

Psychologist in Wantagh, NY

Dr. Carol Gene Goldberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Suite 4000, Wantagh, NY 11793 Phone: 516-364-5084
Dr. Rona Wasserman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1926 Oakland Ave, Wantagh, NY 11793 Phone: 516-781-0122
Jenna Santos, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3408 Park Ave, Wantagh, NY 11793 Phone: 516-221-2123
Howard Cintron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17 Wafer Ln, Wantagh, NY 11793 Phone: 516-735-4962
Mr. Patrick Butler, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1032 Barrie Ave, Wantagh, NY 11793 Phone: 516-592-7668
Dr. Joanne Sgambati, PH.D., BCBA Psychologist Medicare: Medicare Enrolled Practice Location: 3469 Stratford Rd, Wantagh, NY 11793 Phone: 516-804-0647
Dr. Nicholas Naccari, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3016 Home St, Wantagh, NY 11793 Phone: 516-826-2220 Fax: 516-826-2220

Dr Kirsten E Petersen, PHD - Medicare Psychologist in Wantagh, NY