Amber Rae Peterson, LPN is a
Licensed Practical Nurse based in Black Hawk, South Dakota. Amber Rae Peterson is licensed to practice in South Dakota (license number P011318) and her current practice location is
7404 Timberline Ct, Black Hawk, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 593-2682.
NPI number for Amber Rae Peterson is 1285045674 and her current mailing address is 7404 Timberline Ct, Black Hawk, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285045674.
Provider's Profile
Full Name | Amber Rae Peterson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 7404 Timberline Ct, Black Hawk, South Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285045674
- Provider Enumeration Date: 05/19/2014
- Last Update Date: 05/19/2014
Medical Identifiers
Medical identifiers for Amber Rae Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285045674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P011318 (South Dakota) | 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. Amber Rae Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amber Rae Peterson, LPN 7404 Timberline Ct, Black Hawk, SD 57718-9545 Ph: (605) 593-2682 | Amber Rae Peterson, LPN 7404 Timberline Ct, Black Hawk, SD 57718-9545 Ph: (605) 593-2682 |
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