Ms Alice Petersen, MSN, FNP-C, CCRA - Medicare Nurse Practitioner in Faison, NC

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Ms Alice Petersen, MSN, FNP-C, CCRA is a medicare enrolled "Nurse Practitioner - Family" in Faison, North Carolina. Her current practice location is 444 Sw Center St, Faison, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 267-0421.

Ms Alice Petersen is licensed to practice in North Carolina (license number 5018386) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902405665.

Contact Information

Ms Alice Petersen, MSN, FNP-C, CCRA
444 Sw Center St,
Faison, NC 28341-8820
(910) 267-0421
(910) 267-8989

Map and Direction




Provider's Profile

Full NameMs Alice Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location444 Sw Center St, Faison, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902405665
  • Provider Enumeration Date: 10/22/2020
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507229614
  • Enrollment ID: I20230822003702

Medical Identifiers

Medical identifiers for Ms Alice Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902405665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5018386 (North Carolina)Primary

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. Ms Alice Petersen allows following entities to bill medicare on her behalf.
Entity NameGoshen Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023424686
PECOS PAC ID: 3173434479
Enrollment ID: O20040102000726

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. Ms Alice 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 AddressPractice Location Address
Ms Alice Petersen, MSN, FNP-C, CCRA
Po Box 187,
Faison, NC 28341-0187

Ph: (910) 267-0421		Ms Alice Petersen, MSN, FNP-C, CCRA
444 Sw Center St,
Faison, NC 28341-8820

Ph: (910) 267-0421

Reviews and Comments


Nurse Practitioner Nurses in Faison, NC

Sandra L. Krantz, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 444 Sw Center Sreet, Faison, NC 28341
Phone: 910-267-0421    Fax: 910-267-0441
Sharon R Smith, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 444 Sw Center St, Faison, NC 28341
Phone: 910-267-8681    Fax: 910-267-0441
Mrs. Aixa Nieves Kimes, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 Sw Center St, Faison, NC 28341
Phone: 910-267-0421    Fax: 910-378-1746

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.