Anthony Michael Petersen, MD in Bountiful, UT

Anthony Michael Petersen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bountiful, Utah. He went to University Of Utah School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mountainstar Behavioral Health Llc and his current practice location is 630 Medical Dr, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 299-3781.

Anthony Michael Petersen is licensed to practice in Utah (license number 8797789-1205) 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 1336407790.

Contact Information

	Anthony Michael Petersen, MD
	630 Medical Dr, Bountiful, UT 84010-4908
	(801) 299-3781
	(801) 299-2416

Map and Direction

Physician's Profile

Full Name	Anthony Michael Petersen
Gender	Male
Speciality	Psychiatry
Experience	12 Years
Location	630 Medical Dr, Bountiful, Utah
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:

Anthony Michael Petersen attended and graduated from University Of Utah School Of Medicine in 2012

NPI Data:

NPI Number: 1336407790
Provider Enumeration Date: 04/24/2012
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 7214160761
Enrollment ID: I20160902001726

Medical Identifiers

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

Identifier	Type	State	Issuer
1336407790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD457218 (Pennsylvania)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	8797789-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeview Hospital	Bountiful, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountainstar Behavioral Health Llc	1052558186	11

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. Anthony Michael Petersen allows following entities to bill medicare on his behalf.

Entity Name	Mountainstar Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174868525 PECOS PAC ID: 1052558186 Enrollment ID: O20130605000270

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. Anthony Michael 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
Anthony Michael Petersen, MD Po Box 742353, Atlanta, GA 30374-2353 Ph: () -	Anthony Michael Petersen, MD 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-3781

Reviews and Comments

Psychiatry & Neurology Doctors in Bountiful, UT

Patricia F. Voss, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 E 800 N, Bountiful, UT 84010 Phone: 801-842-4799
Dr. Oliver Lamont Mcpherson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2186 Fax: 801-299-2416
Dr. Carmela J Javellana, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13 W 3100 S, Bountiful, UT 84010 Phone: 801-268-0333 Fax: 801-268-3777
Michael S Roundy, PHYSICIAN SURGEON Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 Fax: 201-299-2416
Kristie Sue Julien, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 282 Lago Vista Cir, Bountiful, UT 84010 Phone: 801-678-1083
Dr. Austin Blair Imus, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3773

Anthony Michael Petersen, MD - Medicare Psychiatry in Bountiful, UT