Lidia Timofeenko Petersen, in Las Vegas, NV - Medicare Nurse Practitioner

Lidia Timofeenko Petersen, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Las Vegas, Nevada. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Nevada and her current practice location is 972 Sugar Springs Dr, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (208) 410-3048.

Lidia Timofeenko Petersen is licensed to practice in Nevada (license number 835379) 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 1245857952.

Contact Information

	Lidia Timofeenko Petersen,
	972 Sugar Springs Dr, Las Vegas, NV 89110-2936
	(208) 410-3048
	Not Available

Map and Direction

Provider's Profile

Full Name	Lidia Timofeenko Petersen
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	972 Sugar Springs Dr, Las Vegas, Nevada
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:

Lidia Timofeenko Petersen graduated from nursing school in 2020

NPI Data:

NPI Number: 1245857952
Provider Enumeration Date: 06/29/2020
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 2769895960
Enrollment ID: I20221011002765

Medical Identifiers

Medical identifiers for Lidia Timofeenko Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245857952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	53260 (Idaho)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	TEMP53260 (Idaho)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	835379 (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Nevada	9234022153	37

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. Lidia Timofeenko Petersen allows following entities to bill medicare on her behalf.

Entity Name	State Of Nevada
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760572010 PECOS PAC ID: 9234022153 Enrollment ID: O20040212000160

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. Lidia Timofeenko 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 Address	Practice Location Address
Lidia Timofeenko Petersen, 972 Sugar Springs Dr, Las Vegas, NV 89110-2936 Ph: (208) 410-3048	Lidia Timofeenko Petersen, 972 Sugar Springs Dr, Las Vegas, NV 89110-2936 Ph: (208) 410-3048

Reviews and Comments

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Lidia Timofeenko Petersen, - Medicare Nurse Practitioner in Las Vegas, NV