Mrs Jill Anne Peterson, RN, MSN, CPNP in Boston, MA

Mrs Jill Anne Peterson, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Boston, Massachusetts. Her current practice location is 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 724-0518.

Mrs Jill Anne Peterson is licensed to practice in Massachusetts (license number RN242565) 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 1144529850.

Contact Information

	Mrs Jill Anne Peterson, RN, MSN, CPNP
	55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621
	(617) 724-0518
	(617) 726-2167

Map and Direction

Provider's Profile

Full Name	Mrs Jill Anne Peterson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144529850
Provider Enumeration Date: 03/21/2011
Last Update Date: 03/21/2011

Medicare PECOS Information:

PECOS PAC ID: 0941467278
Enrollment ID: I20150910001088

Medical Identifiers

Medical identifiers for Mrs Jill Anne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144529850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN242565 (Massachusetts)	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. Mrs Jill Anne Peterson allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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 Jill Anne 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 Jill Anne Peterson, RN, MSN, CPNP 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621 Ph: (617) 724-0518	Mrs Jill Anne Peterson, RN, MSN, CPNP 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621 Ph: (617) 724-0518

Reviews and Comments

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Ms. Kelly Elisha Trecartin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Bigalow 852 F, Boston, MA 02114 Phone: 617-726-7400 Fax: 617-726-4149
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Jamie Marie Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-4410

Mrs Jill Anne Peterson, RN, MSN, CPNP - Medicare Nurse Practitioner in Boston, MA