Dr Iris Havlina Donovan Petersen, MD in Olympia, WA

Dr Iris Havlina Donovan Petersen, MD is a medicare enrolled "Pediatrics" physician in Olympia, Washington. Her current practice location is 3434 12th Ave Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-8470.

Dr Iris Havlina Donovan Petersen is licensed to practice in Washington (license number MD61140296) 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 1659868560.

Contact Information

	Dr Iris Havlina Donovan Petersen, MD
	3434 12th Ave Ne, Olympia, WA 98506-5175
	(360) 413-8470
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Iris Havlina Donovan Petersen
Gender	Female
Speciality	Pediatrics
Location	3434 12th Ave Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659868560
Provider Enumeration Date: 04/16/2018
Last Update Date: 08/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2466885215
Enrollment ID: I20191209001352

Medical Identifiers

Medical identifiers for Dr Iris Havlina Donovan Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659868560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	11405455-1205 (Utah)	Secondary
208000000X	Pediatrics	MD61140296 (Washington)	Primary

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. Dr Iris Havlina Donovan 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
Dr Iris Havlina Donovan Petersen, MD 3434 12th Ave Ne, Olympia, WA 98506-5175 Ph: (360) 413-8470	Dr Iris Havlina Donovan Petersen, MD 3434 12th Ave Ne, Olympia, WA 98506-5175 Ph: (360) 413-8470

Reviews and Comments

Pediatrics Doctors in Olympia, WA

Dr. Amy Z Belko, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Dr. Bradford Douglas Stephens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Dr. Lisa Marie Steinman Barer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Black Lake Blvd Sw, Olympia, WA 98512 Phone: 360-534-9222 Fax: 360-534-9223
Dr. Sarah Anita Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3516 12th Ave Ne, Olympia, WA 98506 Phone: 360-918-0604
Dr. Lin Jiang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2112 Caton Way Sw, Olympia, WA 98502 Phone: 360-754-1629
Henry L Degive, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3516 12th Ave Ne, Olympia, WA 98506 Phone: 360-918-0604 Fax: 360-456-6504
Dr. Adam Haim Boldt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490

Dr Iris Havlina Donovan Petersen, MD - Medicare Pediatrics in Olympia, WA