Susan K Peterson, PA in Fort Wayne, IN

Susan K Peterson, PA is a Physician Assistant - Medical based in Fort Wayne, Indiana. Susan K Peterson is licensed to practice in Indiana (license number 10000342A) and her current practice location is 11143 Parkview Plaza Dr, 100, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 484-8830.

NPI number for Susan K Peterson is 1205946613 and her current mailing address is 11143 Parkview Plaza Dr, 100, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205946613.

Contact Information

	Susan K Peterson, PA
	11143 Parkview Plaza Dr, 100, Fort Wayne, IN 46845-1727
	(260) 484-8830
	(260) 483-1911

Map and Direction

Provider's Profile

Full Name	Susan K Peterson
Gender	Female
Speciality	Physician Assistant - Medical
Location	11143 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1205946613
Provider Enumeration Date: 08/30/2006
Last Update Date: 10/29/2009

Medical Identifiers

Medical identifiers for Susan K Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205946613	NPI	-	NPPES
000000528371	Other	IN	ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	10000342A (Indiana)	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. Susan K 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
Susan K Peterson, PA 11143 Parkview Plaza Dr, 100, Fort Wayne, IN 46845-1727 Ph: (260) 484-8830	Susan K Peterson, PA 11143 Parkview Plaza Dr, 100, Fort Wayne, IN 46845-1727 Ph: (260) 484-8830

Reviews and Comments

Physician Assistant Nurses in Fort Wayne, IN

Macy Marie Bradbury, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Miss Jacqueline Langer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Mrs. Brianna J Abbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 Phone: 260-266-5260 Fax: 260-266-5913
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442

Susan K Peterson, PA - Physician Assistant in Fort Wayne, IN