Kourtney Peterson, in Oklahoma City, OK - Medicare Nurse Practitioner

Kourtney Peterson, is a medicare enrolled "Nurse Practitioner - Family" in Oklahoma City, Oklahoma. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Variety Care, Inc. and her current practice location is 721 W Britton Rd, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 632-6688.

Kourtney Peterson is licensed to practice in Oklahoma (license number 104671) 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 1093165227.

Contact Information

	Kourtney Peterson,
	721 W Britton Rd, Oklahoma City, OK 73114-2909
	(405) 632-6688
	Not Available

Map and Direction

Provider's Profile

Full Name	Kourtney Peterson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	721 W Britton Rd, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kourtney Peterson graduated from nursing school in 2016

NPI Data:

NPI Number: 1093165227
Provider Enumeration Date: 06/19/2016
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8123387131
Enrollment ID: I20180122000375

Medical Identifiers

Medical identifiers for Kourtney Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093165227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	104671 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	104671 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Variety Care, Inc.	1557260007	84

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. Kourtney Peterson allows following entities to bill medicare on her behalf.

Entity Name	Variety Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467

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. Kourtney 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
Kourtney Peterson, 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 632-6688	Kourtney Peterson, 721 W Britton Rd, Oklahoma City, OK 73114-2909 Ph: (405) 632-6688

Reviews and Comments

Nurse Practitioner Nurses in Oklahoma City, OK

Ann R Benson, BSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117 Phone: 405-271-4476 Fax: 405-271-9202
Mrs. Judy Kay Kellogg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708
Mrs. Darbi Lynne Williams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-608-3838
Tammy Ann Harrelson, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134 Phone: 405-606-2727 Fax: 405-606-7040
Liji Seilas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111 Phone: 405-521-8486 Fax: 405-521-8496
Mrs. Rachel Leigh Cross, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104 Phone: 405-271-4412
Gretchen Fatherree, APRN, CNP-NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, Etnp 7504, Oklahoma City, OK 73104 Phone: 405-271-5215

Kourtney Peterson, - Medicare Nurse Practitioner in Oklahoma City, OK