Molly Petersen, APRN in Omaha, NE - Medicare Nurse Practitioner

Molly Petersen, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Omaha, Nebraska. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Camp-grimit Petersen Llc, Associated Counseling Professionals Pc and her current practice location is 17670 Welch Plz Ste 102, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 403-5222.

Molly Petersen is licensed to practice in Nebraska (license number 111672) 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 1679987432.

Contact Information

	Molly Petersen, APRN
	17670 Welch Plz Ste 102, Omaha, NE 68135-3805
	(402) 403-5222
	(402) 403-5233

Map and Direction

Provider's Profile

Full Name	Molly Petersen
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	17670 Welch Plz Ste 102, Omaha, Nebraska
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:

Molly Petersen graduated from nursing school in 2014

NPI Data:

NPI Number: 1679987432
Provider Enumeration Date: 06/19/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9436378890
Enrollment ID: I20140917000192

Medical Identifiers

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

Identifier	Type	State	Issuer
1679987432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	111672 (Nebraska)	Secondary
363LF0000X	Nurse Practitioner - Family	111672 (Nebraska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	111672 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Camp-grimit Petersen Llc	2264701598	4
Associated Counseling Professionals Pc	3274586995	7

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. Molly Petersen allows following entities to bill medicare on her behalf.

Entity Name	Associated Counseling Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386661189 PECOS PAC ID: 3274586995 Enrollment ID: O20050222000982

Entity Name	Camp-grimit Petersen Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922532324 PECOS PAC ID: 2264701598 Enrollment ID: O20170630000084

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. Molly 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
Molly Petersen, APRN 12077 Elmwood Dr., Bennington, NE 68007 Ph: (402) 332-7648	Molly Petersen, APRN 17670 Welch Plz Ste 102, Omaha, NE 68135-3805 Ph: (402) 403-5222

Reviews and Comments

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Molly Petersen, APRN - Medicare Nurse Practitioner in Omaha, NE