Ms Penny Petersen, in Mitchell, SD - Medicare Nurse Practitioner

Ms Penny Petersen, is a medicare enrolled "Nurse Practitioner" in Mitchell, South Dakota. Her current practice location is 525 N Foster St, Mitchell, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 995-2000.

Ms Penny Petersen is licensed to practice in South Dakota (license number 000437) 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 1114907979.

Contact Information

	Ms Penny Petersen,
	525 N Foster St, Mitchell, SD 57301-2966
	(605) 995-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Penny Petersen
Gender	Female
Speciality	Nurse Practitioner
Location	525 N Foster St, Mitchell, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114907979
Provider Enumeration Date: 01/18/2006
Last Update Date: 02/26/2010

Medicare PECOS Information:

PECOS PAC ID: 6800076969
Enrollment ID: I20110207000205

Medical Identifiers

Medical identifiers for Ms Penny Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114907979	NPI	-	NPPES
6831840	Medicaid	SD
S1639	Other	SD	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	000437 (South Dakota)	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. Ms Penny Petersen allows following entities to bill medicare on her behalf.

Entity Name	Avera Queen Of Peace
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301

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 Penny 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
Ms Penny Petersen, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-2000	Ms Penny Petersen, 525 N Foster St, Mitchell, SD 57301-2966 Ph: (605) 995-2000

Reviews and Comments

Nurse Practitioner Nurses in Mitchell, SD

Theresa Miiller, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000
Heidi M Gehrke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-2000
Kelly Jo Mcdermott, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Foster St, Mitchell, SD 57301 Phone: 605-995-5701 Fax: 605-995-5700
Kristin J Bietz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W 6th Ave, Mitchell, SD 57301 Phone: 605-292-6262
Angela Mae Broughton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Grassland Dr, Mitchell, SD 57301 Phone: 605-995-7000
Kim Denise Kee, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E 6th Ave, Mitchell, SD 57301 Phone: 605-996-3380 Fax: 605-996-3385

Ms Penny Petersen, - Medicare Nurse Practitioner in Mitchell, SD