Elizabeth Petersen, is a
Peer Specialist based in Aberdeen, Washington. Elizabeth Petersen is licensed to practice in Washington (license number CG61648214) and her current practice location is
2700 Simpson Ave Ste 101, Aberdeen, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 612-0012.
NPI number for Elizabeth Petersen is 1417761214 and her current mailing address is Po Box 1847, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417761214.
Healthcare Provider's Profile
Full Name | Elizabeth Petersen |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 2700 Simpson Ave Ste 101, Aberdeen, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417761214
- Provider Enumeration Date: 02/03/2025
- Last Update Date: 02/03/2025
Medical Identifiers
Medical identifiers for Elizabeth Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417761214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CG61648214 (Washington) | Secondary |
175T00000X | Peer Specialist | CG61648214 (Washington) | 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. Elizabeth 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 |
Elizabeth Petersen, Po Box 1847, Longview, WA 98632-8140 Ph: (360) 612-0012 | Elizabeth Petersen, 2700 Simpson Ave Ste 101, Aberdeen, WA 98520-4333 Ph: (360) 612-0012 |
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