Emily Petersen, PA-C is a medicare enrolled "Physician Assistant" in Ochelata, Oklahoma. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cherokee Nation and her current practice location is
395200 W 2900 Rd, Ochelata, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 535-6000.
Emily Petersen is licensed to practice in Oklahoma (license number 4779) 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 1720658354.
Provider's Profile
| Full Name | Emily Petersen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emily Petersen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1720658354
- Provider Enumeration Date: 06/27/2021
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901288349
- Enrollment ID: I20220802003130
Medical Identifiers
Medical identifiers for Emily Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720658354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4779 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cherokee Nation | 5799698742 | 361 |
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. Emily 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 |
|---|
Emily Petersen, PA-C
11208 W 50th St,
Shawnee, KS 66203-1547
Ph: (913) 238-7424 | Emily Petersen, PA-C
395200 W 2900 Rd,
Ochelata, OK 74051-2463
Ph: (918) 535-6000 |
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