Mary T Carr Peterson, PA in Ankeny, IA - Medicare Physician Assistant

Mary T Carr Peterson, PA is a medicare enrolled "Physician Assistant" in Ankeny, Iowa. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Iowa Clinic Pc, On With Life Inc and her current practice location is 1410 Sw Tradition Dr Ste 120, Ankeny, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 875-9040.

Mary T Carr Peterson is licensed to practice in Iowa (license number 001597) 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 1164496212.

Contact Information

	Mary T Carr Peterson, PA
	1410 Sw Tradition Dr Ste 120, Ankeny, IA 50023-9188
	(515) 875-9040
	(515) 875-9041

Map and Direction

Provider's Profile

Full Name	Mary T Carr Peterson
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	1410 Sw Tradition Dr Ste 120, Ankeny, Iowa
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:

Mary T Carr Peterson graduated from nursing school in 2004

NPI Data:

NPI Number: 1164496212
Provider Enumeration Date: 02/15/2006
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0547218174
Enrollment ID: I20050110000938

Medical Identifiers

Medical identifiers for Mary T Carr Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164496212	NPI	-	NPPES
37904	Other		WELLMARK
0634600	Medicaid	IA
1117994	Medicaid	IA
37902	Other		WELLMARK
37903	Other		WELLMARK
37905	Other		WELLMARK
2117994	Medicaid	IA
3117994	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	001597 (Iowa)	Secondary
363A00000X	Physician Assistant	001597 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Iowa Clinic Pc	4082513742	270
On With Life Inc	4385553965	149

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. Mary T Carr 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
Mary T Carr Peterson, PA Po Box 424, Des Moines, IA 50302-0424 Ph: (515) 875-9255	Mary T Carr Peterson, PA 1410 Sw Tradition Dr Ste 120, Ankeny, IA 50023-9188 Ph: (515) 875-9040

Reviews and Comments

Physician Assistant Nurses in Ankeny, IA

Katherine Jo Tupper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 350 Ne 36th St, Ankeny, IA 50021 Phone: 515-224-1414
Naomi F. Petrich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3625 N Ankeny Blvd Ste E, Ankeny, IA 50023 Phone: 515-965-4664
Ms. Lindsey Joy Engbers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Ne 36th St, Ankeny, IA 50021 Phone: 515-224-1414 Fax: 515-224-5140
Breanna Wickett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Sw Tradition Dr Ste 260, Ankeny, IA 50023 Phone: 515-875-9290 Fax: 515-875-9291
Kristin R. Witzenburg, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Sw Tradition Dr Ste 110, Ankeny, IA 50023 Phone: 515-875-9696 Fax: 515-875-9697
Holland Joy Taylor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 Nw 36th St, Ankeny, IA 50023 Phone: 515-358-7550 Fax: 515-358-7551

Mary T Carr Peterson, PA - Medicare Physician Assistant in Ankeny, IA