Clairessa Elaine Petersen, is a
Student In An Organized Health Care Education/training Program based in Saint Paul, Minnesota. Clairessa Elaine Petersen is licensed to practice in * (Not Available) (license number ) and her current practice location is
765 Hampden Ave, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1399.
NPI number for Clairessa Elaine Petersen is 1861182636 and her current mailing address is 765 Hampden Ave Apt 535, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861182636.
Provider's Profile
| Full Name | Clairessa Elaine Petersen |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 765 Hampden Ave, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861182636
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Clairessa Elaine Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861182636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Clairessa Elaine Petersen 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 |
|---|
Clairessa Elaine Petersen,
765 Hampden Ave Apt 535,
Saint Paul, MN 55114-1673
Ph: (218) 398-0412 | Clairessa Elaine Petersen,
765 Hampden Ave,
Saint Paul, MN 55114-1665
Ph: (612) 330-1399 |
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