Denise K Petersen, NP in Loma Linda, CA - Medicare Nurse Practitioner

Denise K Petersen, NP is a medicare enrolled "Nurse Practitioner" in Loma Linda, California. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11234 Anderson St, #1617, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-8591.

Denise K Petersen is licensed to practice in California (license number NP12031) 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 1386663805.

Contact Information

	Denise K Petersen, NP
	11234 Anderson St, #1617, Loma Linda, CA 92354-2804
	(909) 558-8591
	Not Available

Map and Direction

Provider's Profile

Full Name	Denise K Petersen
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	11234 Anderson St, Loma Linda, California
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:

Denise K Petersen graduated from nursing school in 1999

NPI Data:

NPI Number: 1386663805
Provider Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800865882
Enrollment ID: I20040927000844

Medical Identifiers

Medical identifiers for Denise K Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386663805	NPI	-	NPPES
RN566951	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP12031 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Denise K Petersen allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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. Denise K 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
Denise K Petersen, NP Po Box 10427, San Bernardino, CA 92423-0427 Ph: (909) 558-8591	Denise K Petersen, NP 11234 Anderson St, #1617, Loma Linda, CA 92354-2804 Ph: (909) 558-8591

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000

Denise K Petersen, NP - Medicare Nurse Practitioner in Loma Linda, CA