Jann M Ford Petersen, NP - Medicare Nurse Practitioner in Mesa, AZ

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Jann M Ford Petersen, NP is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Arizona Llc and her current practice location is 3624 N Power Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 755-0800.

Jann M Ford Petersen is licensed to practice in Arizona (license number APRN8132) 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 1710357355.

Contact Information

Jann M Ford Petersen, NP
3624 N Power Rd,
Mesa, AZ 85215-9733
(602) 755-0800
(602) 560-2721

Map and Direction




Provider's Profile

Full NameJann M Ford Petersen
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3624 N Power Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jann M Ford Petersen graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1710357355
  • Provider Enumeration Date: 09/25/2015
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436459831
  • Enrollment ID: I20151207001655

Medical Identifiers

Medical identifiers for Jann M Ford Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710357355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP8132 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP8132 (Arizona)Secondary
363LF0000XNurse Practitioner - Family APRN8132 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Arizona Llc3173872835190

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. Jann M Ford Petersen allows following entities to bill medicare on her behalf.
Entity NameTri-city Express Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962580118
PECOS PAC ID: 2264436377
Enrollment ID: O20060901000335
Entity NameHeavens Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578065827
PECOS PAC ID: 7416204474
Enrollment ID: O20180720003069
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015
Entity NameThe Wellness Connection Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316544844
PECOS PAC ID: 4284046178
Enrollment ID: O20201217002158
Entity NamePine Park Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346879848
PECOS PAC ID: 0345670527
Enrollment ID: O20220928002530

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. Jann M Ford 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 AddressPractice Location Address
Jann M Ford Petersen, NP
Po Box 24981,
Belfast, ME 04915-2000

Ph: (844) 969-0686		Jann M Ford Petersen, NP
3624 N Power Rd,
Mesa, AZ 85215-9733

Ph: (602) 755-0800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.