Jeanne Louise Peterson, CNM is a medicare enrolled "Advanced Practice Midwife" in Buffalo, Wyoming. Her current practice location is
30 Luna Dr, Buffalo, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 250-9122.
Jeanne Louise Peterson is licensed to practice in Wyoming (license number 824) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487755823.
Provider's Profile
Full Name | Jeanne Louise Peterson |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 30 Luna Dr, Buffalo, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487755823
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406943828
- Enrollment ID: I20190610000526
Medical Identifiers
Medical identifiers for Jeanne Louise Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487755823 | NPI | - | NPPES |
23337.0824 | Other | WY | CERTIFIED NURSE MIDWIFE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 824 (Wyoming) | Primary |
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. Jeanne Louise Peterson allows following entities to bill medicare on her behalf.
Entity Name | Summit Ob Gyn Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942664107 PECOS PAC ID: 6608162029 Enrollment ID: O20160912001813 |
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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. Jeanne Louise Peterson 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 |
Jeanne Louise Peterson, CNM 1414 W 4th St, Gillette, WY 82716-3328 Ph: (307) 682-6263 | Jeanne Louise Peterson, CNM 30 Luna Dr, Buffalo, WY 82834-8910 Ph: (307) 250-9122 |
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