Mrs Hannah Peterson, CAA is a
Anesthesiologist Assistant based in West Bend, Wisconsin. Mrs Hannah Peterson is licensed to practice in Wisconsin (license number 576-17) and her current practice location is
3200 Pleasant Valley Rd, West Bend, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 836-5533.
NPI number for Mrs Hannah Peterson is 1114739844 and her current mailing address is N18w5389 Pierce Ct, Cedarburg, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114739844.
Provider's Profile
| Full Name | Mrs Hannah Peterson |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114739844
- Provider Enumeration Date: 01/21/2025
- Last Update Date: 01/21/2025
Medical Identifiers
Medical identifiers for Mrs Hannah Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114739844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367H00000X | Anesthesiologist Assistant | 576-17 (Wisconsin) | 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. Mrs Hannah Peterson 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 |
|---|
Mrs Hannah Peterson, CAA
N18w5389 Pierce Ct,
Cedarburg, WI 53012-2931
Ph: (262) 960-5765 | Mrs Hannah Peterson, CAA
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
Ph: (262) 836-5533 |
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