Mrs Holly Suzanne Peterson, PA-C in Rexburg, ID

Mrs Holly Suzanne Peterson, PA-C is a medicare enrolled "Physician Assistant" in Rexburg, Idaho. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mountain View Hospital Llc, Leavitt Womens Healthcare Corp.pc and her current practice location is 72 S 1st E Ste 101, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 356-4900.

Mrs Holly Suzanne Peterson is licensed to practice in Idaho (license number PA-1814) 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 1285278614.

Contact Information

	Mrs Holly Suzanne Peterson, PA-C
	72 S 1st E Ste 101, Rexburg, ID 83440-1965
	(208) 356-4900
	(208) 356-3724

Map and Direction

Provider's Profile

Full Name	Mrs Holly Suzanne Peterson
Gender	Female
Speciality	Physician Assistant
Experience	5 Years
Location	72 S 1st E Ste 101, Rexburg, Idaho
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:

Mrs Holly Suzanne Peterson graduated from nursing school in 2019

NPI Data:

NPI Number: 1285278614
Provider Enumeration Date: 10/29/2019
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5193152189
Enrollment ID: I20200304001734

Medical Identifiers

Medical identifiers for Mrs Holly Suzanne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285278614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA-1814 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain View Hospital Llc	4486562774	188
Leavitt Womens Healthcare Corp.pc	6709809502	7

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 Holly Suzanne Peterson 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
Mrs Holly Suzanne Peterson, PA-C Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900	Mrs Holly Suzanne Peterson, PA-C 72 S 1st E Ste 101, Rexburg, ID 83440-1965 Ph: (208) 356-4900

Reviews and Comments

Physician Assistant Nurses in Rexburg, ID

Dave Robinson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1236 Bond Ave Ste B, Rexburg, ID 83440 Phone: 208-701-0277 Fax: 208-701-0294
Janiel J Green, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz, Suite #102, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444
Rebecca L Perez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111
Mr. Steven Craig Pierce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691
Julie Marie Anderson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 117 W Main St Ste 101, Rexburg, ID 83440 Phone: 208-709-0478
Jacob Vial, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 S Center St, Rexburg, ID 83460 Phone: 406-595-1515

Mrs Holly Suzanne Peterson, PA-C - Medicare Physician Assistant in Rexburg, ID