Rio Peterson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New Meadows, Idaho. His current practice location is
4020 Granite View Road, New Meadows, Idaho. You can reach out to his office (for appointments etc.) via phone at
(209) 677-7747.
Rio Peterson is licensed to practice in Idaho (license number 70072) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841966819.
Provider's Profile
| Full Name | Rio Peterson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 4020 Granite View Road, New Meadows, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841966819
- Provider Enumeration Date: 08/19/2021
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204210891
- Enrollment ID: I20230323001336
Medical Identifiers
Medical identifiers for Rio Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841966819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 70072 (Idaho) | 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. Rio Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Rurban Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205556859
PECOS PAC ID: 7416321039
Enrollment ID: O20230322002564 |
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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. Rio 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 |
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Rio Peterson, PMHNP
260 Bonner Mall Way # 1028,
Ponderay, ID 83852-9748
Ph: (209) 677-7747 | Rio Peterson, PMHNP
4020 Granite View Road,
New Meadows, ID 83654
Ph: (209) 677-7747 |
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