Debra Jean Petersen, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Broomfield, Colorado. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Physicians Incorporated and her current practice location is
11820 Destination Dr, Broomfield, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 848-0000.
Debra Jean Petersen is licensed to practice in Colorado (license number APN.0993074-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265951925.
Physician's Profile
Full Name | Debra Jean Petersen |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 25 Years |
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Location | 11820 Destination Dr, Broomfield, Colorado |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Debra Jean Petersen graduated from medical school in 1999
NPI Data:
- NPI Number: 1265951925
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244338572
- Enrollment ID: I20171108000135
Medical Identifiers
Medical identifiers for Debra Jean Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265951925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | APN.0993074-NP (Colorado) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | APN.0993074-NP (Colorado) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | APN.0993074-NP (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Physicians Incorporated | 3476465667 | 2639 |
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. Debra Jean Petersen allows following entities to bill medicare on her behalf.
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
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Entity Name | Carepoint Outpatient Blue Sky Neurology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609247857 PECOS PAC ID: 9739485988 Enrollment ID: O20160314002170 |
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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. Debra Jean 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 |
Debra Jean Petersen, NP P.o. Box 17528, Denver, CO 80217-7528 Ph: (303) 306-7783 | Debra Jean Petersen, NP 11820 Destination Dr, Broomfield, CO 80021-2518 Ph: (720) 848-0000 |
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