Ketti Sophia Petersen, MD in Ann Arbor, MI - Medicare Hospice/palliative Care

Ketti Sophia Petersen, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Ann Arbor, Michigan. She went to University Of Michigan Medical School and graduated in 2010 and has 14 years of diverse experience with area of expertise as Hospice/palliative Care. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4000.

Ketti Sophia Petersen is licensed to practice in Michigan (license number 4301096617) 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 1003128919.

Contact Information

	Ketti Sophia Petersen, MD
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ketti Sophia Petersen
Gender	Female
Speciality	Hospice/palliative Care
Experience	14 Years
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
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:

Ketti Sophia Petersen attended and graduated from University Of Michigan Medical School in 2010

NPI Data:

NPI Number: 1003128919
Provider Enumeration Date: 07/08/2010
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7911123518
Enrollment ID: I20140716001893

Medical Identifiers

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

Identifier	Type	State	Issuer
1003128919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QH0002X	Family Medicine - Hospice And Palliative Medicine	4301096617 (Michigan)	Primary
207Q00000X	Family Medicine	4301096617 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Michigan Health System	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of Michigan	3779496856	2916

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. Ketti Sophia Petersen allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669402848 PECOS PAC ID: 3779496856 Enrollment ID: O20031117000359

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003848144 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000236

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. Ketti Sophia 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
Ketti Sophia Petersen, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Ketti Sophia Petersen, MD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

Reviews and Comments

Family Medicine Doctors in Ann Arbor, MI

Dr. James Robert Neuenschwander, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3131 Professional Dr, Ann Arbor, MI 48104 Phone: 734-995-3200 Fax: 734-995-4254
Ms. Natasha Kristine Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 E Hospital Dr Spc 5718, Ann Arbor, MI 48109 Phone: 734-936-9777 Fax: 734-936-6897
Ms. Alicia J Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Briarwood Circle, Ann Arbor, MI 48108 Phone: 734-998-7390
Dana Marie O'neill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Whitehall Dr Ste 130, Ann Arbor, MI 48105 Phone: 734-995-0303 Fax: 734-995-0425
Alison Nesbitt, Family Medicine Medicare: Medicare Enrolled Practice Location: 4350 Jackson Rd Ste 200, Ann Arbor, MI 48103 Phone: 734-761-2581
Karl Thomas Rew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Frank Lloyd Wright, Lobby H, Ann Arbor, MI 48105 Phone: 734-647-5640

Ketti Sophia Petersen, MD - Medicare Hospice/palliative Care in Ann Arbor, MI