Mr Christopher Petersen, RN is a
Registered Nurse - Emergency based in Moodus, Connecticut. Mr Christopher Petersen is licensed to practice in Connecticut (license number 095813) and his current practice location is
28 Leesville Rd, Moodus, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 335-7806.
NPI number for Mr Christopher Petersen is 1396147708 and his current mailing address is 28 Leesville Rd, Moodus, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396147708.
Provider's Profile
Full Name | Mr Christopher Petersen |
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Gender | Male |
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Speciality | Registered Nurse - Emergency |
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Location | 28 Leesville Rd, Moodus, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396147708
- Provider Enumeration Date: 09/17/2014
- Last Update Date: 09/17/2014
Medical Identifiers
Medical identifiers for Mr Christopher Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396147708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 095813 (Connecticut) | Primary |
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. Mr Christopher Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Christopher Petersen, RN 28 Leesville Rd, Moodus, CT 06469-1003 Ph: (860) 335-7806 | Mr Christopher Petersen, RN 28 Leesville Rd, Moodus, CT 06469-1003 Ph: (860) 335-7806 |
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