Stefanie Petersen, in Layton, UT - Medicare Marriage & Family Therapist Provider

Stefanie Petersen, is a medicare enrolled "Marriage & Family Therapist" provider in Layton, Utah. Her current practice location is 934 S Main St, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-7060.

Stefanie Petersen is licensed to practice in Utah (license number 8772895-3902) 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 1922448588.

Contact Information

	Stefanie Petersen,
	934 S Main St, Layton, UT 84041-7135
	(801) 773-7060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stefanie Petersen
Gender	Female
Speciality	Marriage & Family Therapist
Location	934 S Main St, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922448588
Provider Enumeration Date: 06/27/2013
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2264870815
Enrollment ID: I20240402003488

Medical Identifiers

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

Identifier	Type	State	Issuer
1922448588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	8772895-3902 (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. Stefanie Petersen allows following entities to bill medicare on her behalf.

Entity Name	Davis Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770641672 PECOS PAC ID: 7416861919 Enrollment ID: O20031118000909

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. Stefanie 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
Stefanie Petersen, 951 E 250 S, Layton, UT 84041-4467 Ph: (801) 660-7091	Stefanie Petersen, 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060

Reviews and Comments

Marriage & Family Therapist in Layton, UT

Ms. Marilyn D Stephens-burton, LMFT, M.A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 930 W Hill Field Road, Suite A, Layton, UT 84041 Phone: 801-336-3040 Fax: 801-336-3041
Brian Reeves, LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-336-1845
Matthew Lefthand, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1730 E 3100 N Ste 2, Layton, UT 84040 Phone: 801-458-0665
Nefily Ledezma, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 Fax: 801-336-1787
Daniel Stuart, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 930 W Hill Field Rd, Layton, UT 84041 Phone: 801-913-8790
Jaclyn Hunt Herrin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 930 W Hill Field Rd, Layton, UT 84041 Phone: 801-336-3040
Amanda Van Leeuwen Jenks, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1660 W Antelope Dr Ste 301, Layton, UT 84041 Phone: 435-213-9278

Stefanie Petersen, - Medicare Couples Therapy in Layton, UT