Donna Petersen, is a
Speech-language Pathologist based in W Melbourne, Florida. Donna Petersen is licensed to practice in * (Not Available) (license number ) and her current practice location is
2706 Bradfordt Dr, W Melbourne, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 586-6488.
NPI number for Donna Petersen is 1003480856 and her current mailing address is 2706 Bradfordt Dr, W Melbourne, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003480856.
Healthcare Provider's Profile
| Full Name | Donna Petersen |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 2706 Bradfordt Dr, W Melbourne, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003480856
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 05/17/2021
Medical Identifiers
Medical identifiers for Donna Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003480856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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. Donna Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Donna Petersen,
2706 Bradfordt Dr,
W Melbourne, FL 32904-7321
Ph: () - | Donna Petersen,
2706 Bradfordt Dr,
W Melbourne, FL 32904-7321
Ph: (321) 586-6488 |
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