Andrew Hunter Petersen, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Fayetteville, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Charleston Area Medical Center Inc and his current practice location is
211 W Maple Ave, Fayetteville, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 900-5511.
Andrew Hunter Petersen is licensed to practice in Ohio (license number 207YX0905X) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316212517.
Physician's Profile
Full Name | Andrew Hunter Petersen |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 12 Years |
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Location | 211 W Maple Ave, Fayetteville, West Virginia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrew Hunter Petersen attended and graduated from West Virginia School Of Osteopathic Medicine in 2012
NPI Data:
- NPI Number: 1316212517
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850539735
- Enrollment ID: I20180816002809
Medical Identifiers
Medical identifiers for Andrew Hunter Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316212517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 207YX0905X (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Charleston Area Medical Center Inc | 3375441637 | 674 |
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. Andrew Hunter Petersen allows following entities to bill medicare on his behalf.
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
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Entity Name | Oak Hill Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336148931 PECOS PAC ID: 3870493562 Enrollment ID: O20040109000733 |
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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. Andrew Hunter 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 |
Andrew Hunter Petersen, DO 5378 Avery Rd, Dublin, OH 43016-6933 Ph: (614) 771-9871 | Andrew Hunter Petersen, DO 211 W Maple Ave, Fayetteville, WV 25840-1445 Ph: (304) 900-5511 |
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