Amber Dawn Peterson, FNP-C in Ogden, UT - Medicare Nurse Practitioner

Amber Dawn Peterson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ogden, Utah. Her current practice location is 475 40th St Ste 111, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 515-7997.

Amber Dawn Peterson is licensed to practice in Utah (license number 8845405-4405) 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 1861187817.

Contact Information

	Amber Dawn Peterson, FNP-C
	475 40th St Ste 111, Ogden, UT 84403-1856
	(801) 515-7997
	(385) 333-7413

Map and Direction

Provider's Profile

Full Name	Amber Dawn Peterson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	475 40th St Ste 111, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861187817
Provider Enumeration Date: 04/06/2023
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4587025986
Enrollment ID: I20230801004746

Medical Identifiers

Medical identifiers for Amber Dawn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861187817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8845405-4405 (Utah)	Primary
163W00000X	Registered Nurse	8845405-3102 (Utah)	Secondary

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. Amber Dawn Peterson allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662

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. Amber Dawn Peterson 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
Amber Dawn Peterson, FNP-C 475 40th St Ste 111, Ogden, UT 84403-1856 Ph: (801) 515-7997	Amber Dawn Peterson, FNP-C 475 40th St Ste 111, Ogden, UT 84403-1856 Ph: (801) 515-7997

Reviews and Comments

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Amber Dawn Peterson, FNP-C - Medicare Nurse Practitioner in Ogden, UT