Stephanie Ann Peterson, PMHNP in Redding, CA - Medicare Nurse Practitioner

Stephanie Ann Peterson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Redding, California. Her current practice location is 21449 Roughout Rd, Redding, California. You can reach out to her office (for appointments etc.) via phone at (530) 262-7025.

Stephanie Ann Peterson is licensed to practice in California (license number 95020435) 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 1780854760.

Contact Information

	Stephanie Ann Peterson, PMHNP
	21449 Roughout Rd, Redding, CA 96003-8209
	(530) 262-7025
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Ann Peterson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	21449 Roughout Rd, Redding, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780854760
Provider Enumeration Date: 03/06/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3274918008
Enrollment ID: I20220915001048

Medical Identifiers

Medical identifiers for Stephanie Ann Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780854760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020435 (California)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	716439 (California)	Secondary

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. Stephanie Ann Peterson allows following entities to bill medicare on her behalf.

Entity Name	Redding Rancheria
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377

Entity Name	Wayshower Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093434193 PECOS PAC ID: 2365827193 Enrollment ID: O20220915000924

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. Stephanie Ann 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
Stephanie Ann Peterson, PMHNP 859 Washington St # 203, Red Bluff, CA 96080-2704 Ph: (530) 262-7025	Stephanie Ann Peterson, PMHNP 21449 Roughout Rd, Redding, CA 96003-8209 Ph: (530) 262-7025

Reviews and Comments

Nurse Practitioner Nurses in Redding, CA

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Kristin Marie Trevor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460
Erin Baldwin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710
Brian A Pongracz, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-806-1190 Fax: 530-229-7946

Stephanie Ann Peterson, PMHNP - Medicare Nurse Practitioner in Redding, CA