Ms Jacquelyn Massingill Peterson, RN is a
Registered Nurse - Home Health based in Lowell, Wisconsin. Ms Jacquelyn Massingill Peterson is licensed to practice in Wisconsin (license number ) and her current practice location is
N 4001 County Highway K, Lowell, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 927-1793.
NPI number for Ms Jacquelyn Massingill Peterson is 1184667875 and her current mailing address is N 4001 County Highway K, Lowell, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184667875.
Provider's Profile
Full Name | Ms Jacquelyn Massingill Peterson |
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Gender | Female |
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Speciality | Registered Nurse - Home Health |
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Location | N 4001 County Highway K, Lowell, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184667875
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Jacquelyn Massingill Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184667875 | NPI | - | NPPES |
38250100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | (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. Ms Jacquelyn Massingill 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 |
Ms Jacquelyn Massingill Peterson, RN N 4001 County Highway K, Lowell, WI 53557 Ph: (920) 927-1793 | Ms Jacquelyn Massingill Peterson, RN N 4001 County Highway K, Lowell, WI 53557 Ph: (920) 927-1793 |
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