Owen Petersen, PA in Albany, NY - Medicare Physician Assistant

Owen Petersen, PA is a medicare enrolled "Physician Assistant" in Albany, New York. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Orthopedicsny, Llp and his current practice location is 121 Everett Rd, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 489-2663.

Owen Petersen is licensed to practice in New York (license number 027272) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457896300.

Contact Information

	Owen Petersen, PA
	121 Everett Rd, Albany, NY 12205-1474
	(518) 489-2663
	(518) 689-3881

Map and Direction

Provider's Profile

Full Name	Owen Petersen
Gender	Male
Speciality	Physician Assistant
Experience	3 Years
Location	121 Everett Rd, Albany, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Owen Petersen graduated from nursing school in 2021

NPI Data:

NPI Number: 1457896300
Provider Enumeration Date: 01/02/2017
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6103214135
Enrollment ID: I20211025002477

Medical Identifiers

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

Identifier	Type	State	Issuer
1457896300	NPI	-	NPPES
027272	Other	NY	NY LICENSE
06817683	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	027272 (New York)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Troy, NY	Hospital
St Peter's Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedicsny, Llp	6901898170	106

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. Owen 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
Owen Petersen, PA 121 Everett Rd, Albany, NY 12205-1474 Ph: (518) 489-2663	Owen Petersen, PA 121 Everett Rd, Albany, NY 12205-1474 Ph: (518) 489-2663

Reviews and Comments

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Owen Petersen, PA - Medicare Physician Assistant in Albany, NY