Jean Petterson, DO is a medicare enrolled "Pediatrics" physician in Walton, New York. Her current practice location is
2 Titus Place, Walton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 865-2400.
Jean Petterson is licensed to practice in New Hampshire (license number 9819) 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 1760414544.
Physician's Profile
Full Name | Jean Petterson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2 Titus Place, Walton, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760414544
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 10/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 5395637680
- Enrollment ID: I20190124002911
Medical Identifiers
Medical identifiers for Jean Petterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760414544 | NPI | - | NPPES |
30009798 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 9819 (New Hampshire) | 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. Jean Petterson 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 |
Jean Petterson, DO 2 Titus Place, Walton, NY 13856 Ph: (607) 865-2400 | Jean Petterson, DO 2 Titus Place, Walton, NY 13856 Ph: (607) 865-2400 |
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