Georgette Peterson, is a
Licensed Practical Nurse based in Paw Paw, Michigan. Georgette Peterson is licensed to practice in Michigan (license number 4704138858) and her current practice location is
801 Hazen St, Paw Paw, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 655-3334.
NPI number for Georgette Peterson is 1053738781 and her current mailing address is 801 Hazen St, Paw Paw, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053738781.
Provider's Profile
| Full Name | Georgette Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 801 Hazen St, Paw Paw, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053738781
- Provider Enumeration Date: 03/19/2014
- Last Update Date: 03/19/2014
Medical Identifiers
Medical identifiers for Georgette Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053738781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 4704138858 (Michigan) | 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. Georgette 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 |
|---|
Georgette Peterson,
801 Hazen St,
Paw Paw, MI 49079-2008
Ph: (269) 655-3334 | Georgette Peterson,
801 Hazen St,
Paw Paw, MI 49079-2008
Ph: (269) 655-3334 |
Reviews and Comments