Ms Brandy Ault Petersen, RN, MSN, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Hull, Massachusetts. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice South Shore Medical Center, Inc. and her current practice location is
180 George Washington Blvd, Hull, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 376-3000.
Ms Brandy Ault Petersen is licensed to practice in Massachusetts (license number 262850) 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 1194904532.
Provider's Profile
| Full Name | Ms Brandy Ault Petersen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 180 George Washington Blvd, Hull, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Brandy Ault Petersen graduated from nursing school in 2007
NPI Data:
- NPI Number: 1194904532
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 08/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 2769565662
- Enrollment ID: I20080215000383
Medical Identifiers
Medical identifiers for Ms Brandy Ault Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194904532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 262850 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Shore Medical Center, Inc. | 3678487444 | 149 |
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 Brandy Ault Petersen allows following entities to bill medicare on her behalf.
| Entity Name | South Shore Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669411856
PECOS PAC ID: 3678487444
Enrollment ID: O20040413000332 |
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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 Brandy Ault 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 |
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Ms Brandy Ault Petersen, RN, MSN, ANP
110 W Squantum St,
North Quincy, MA 02171-2122
Ph: (617) 376-3000 | Ms Brandy Ault Petersen, RN, MSN, ANP
180 George Washington Blvd,
Hull, MA 02045-3069
Ph: (617) 376-3000 |
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