Krista S Petersen, in Taylorsville, UT - Medicare Counselor Provider

Krista S Petersen, is a medicare enrolled "Counselor - Mental Health" provider in Taylorsville, Utah. Her current practice location is 5691 S Redwood Rd, #16, Taylorsville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 265-3895.

Krista S Petersen is licensed to practice in Utah (license number ) 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 1659782381.

Contact Information

	Krista S Petersen,
	5691 S Redwood Rd, #16, Taylorsville, UT 84123-5420
	(801) 265-3895
	(801) 236-1235

Map and Direction

Healthcare Provider's Profile

Full Name	Krista S Petersen
Gender	Female
Speciality	Counselor - Mental Health
Location	5691 S Redwood Rd, Taylorsville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659782381
Provider Enumeration Date: 05/15/2014
Last Update Date: 05/15/2014

Medicare PECOS Information:

PECOS PAC ID: 1355781428
Enrollment ID: I20240525000465

Medical Identifiers

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

Identifier	Type	State	Issuer
1659782381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(Utah)	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. Krista S Petersen allows following entities to bill medicare on her behalf.

Entity Name	Ted A. Harris, Phd, Licensed Psychologist, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487768826 PECOS PAC ID: 5890608236 Enrollment ID: O20031111000369

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. Krista S 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
Krista S Petersen, 5691 S Redwood Rd, #16, Taylorsville, UT 84123-5420 Ph: (801) 265-3895	Krista S Petersen, 5691 S Redwood Rd, #16, Taylorsville, UT 84123-5420 Ph: (801) 265-3895

Reviews and Comments

Counselor in Taylorsville, UT

Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131

Krista S Petersen, - Medicare Counselor in Taylorsville, UT