Jessica Joy Peterson, PAC is a medicare enrolled "Physician Assistant" in Crivitz, Wisconsin. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oconto Hospital And Medical Center Inc and her current practice location is
218 S Us Highway 141, Ste 100, Crivitz, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 854-7477.
Jessica Joy Peterson is licensed to practice in Wisconsin (license number 1846023) 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 1851388250.
Provider's Profile
| Full Name | Jessica Joy Peterson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 218 S Us Highway 141, Crivitz, Wisconsin |
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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:
- Jessica Joy Peterson graduated from nursing school in 2005
NPI Data:
- NPI Number: 1851388250
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 01/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355385030
- Enrollment ID: I20050614000397
Medical Identifiers
Medical identifiers for Jessica Joy Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851388250 | NPI | - | NPPES |
| 42869400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1846023 (Wisconsin) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Unity Hospice | De pere, WI | Hospice |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oconto Hospital And Medical Center Inc | 2163461781 | 193 |
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. Jessica Joy 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 |
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Jessica Joy Peterson, PAC
Po Box 1866,
Green Bay, WI 54305-1866
Ph: (920) 445-7222 | Jessica Joy Peterson, PAC
218 S Us Highway 141, Ste 100,
Crivitz, WI 54114-1677
Ph: (715) 854-7477 |
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