Mr Shaun M Petersen, PA in North Logan, UT - Medicare Physician Assistant

Mr Shaun M Petersen, PA is a medicare enrolled "Physician Assistant" in North Logan, Utah. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 2310 N 400 E, Ste A, North Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 787-2000.

Mr Shaun M Petersen is licensed to practice in Utah (license number 7036833-1206) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497911556.

Contact Information

	Mr Shaun M Petersen, PA
	2310 N 400 E, Ste A, North Logan, UT 84341-1788
	(435) 787-2000
	(435) 787-1913

Map and Direction

Provider's Profile

Full Name	Mr Shaun M Petersen
Gender	Male
Speciality	Physician Assistant
Experience	16 Years
Location	2310 N 400 E, North Logan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shaun M Petersen graduated from nursing school in 2008

NPI Data:

NPI Number: 1497911556
Provider Enumeration Date: 07/29/2008
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8729153804
Enrollment ID: I20080825000489

Medical Identifiers

Medical identifiers for Mr Shaun M Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497911556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	7036833-1206 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckay Dee Hospital	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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 Shaun M 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
Mr Shaun M Petersen, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 890-9466	Mr Shaun M Petersen, PA 2310 N 400 E, Ste A, North Logan, UT 84341-1788 Ph: (435) 787-2000

Reviews and Comments

Physician Assistant Nurses in North Logan, UT

Ray Brock Olson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-359-4507
Mrs. Erin Bagley Oberg, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Rocky Mountain Dermatology 1760 N 200 E, #101, North Logan, UT 84341 Phone: 435-787-0560
Kristin K Buys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 N 400 E Ste 104, North Logan, UT 84341 Phone: 435-755-6061
Adyson Marie Schreiner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1760 N 200 E Ste 101, North Logan, UT 84341 Phone: 262-422-3083
Lindsay Dawn Humes, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2245 N 400 E, Ste 301, North Logan, UT 84341 Phone: 435-753-7880 Fax: 435-753-5845
Angela Karlina Cronin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1760 N 200 E Ste 101, North Logan, UT 84341 Phone: 435-787-0560 Fax: 435-752-4673

Mr Shaun M Petersen, PA - Medicare Physician Assistant in North Logan, UT