Therese Marie Petersen, C-FNP - Medicare Nurse Practitioner in Mountain View, CA

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Therese Marie Petersen, C-FNP is a medicare enrolled "Nurse Practitioner - Family" in Mountain View, California. Her current practice location is 701 E El Camino Real, Mountain View, California. You can reach out to her office (for appointments etc.) via phone at (650) 934-7440.

Therese Marie Petersen is licensed to practice in California (license number 14199) 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 1295808004.

Contact Information

Therese Marie Petersen, C-FNP
701 E El Camino Real,
Mountain View, CA 94040-2833
(650) 934-7440
Not Available

Map and Direction




Provider's Profile

Full NameTherese Marie Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location701 E El Camino Real, Mountain View, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295808004
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 03/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103718002
  • Enrollment ID: I20040325001776

Medical Identifiers

Medical identifiers for Therese Marie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295808004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14199 (California)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. Therese Marie Petersen allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784

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. Therese Marie 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 AddressPractice Location Address
Therese Marie Petersen, C-FNP
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 934-7440		Therese Marie Petersen, C-FNP
701 E El Camino Real,
Mountain View, CA 94040-2833

Ph: (650) 934-7440

Reviews and Comments


Nurse Practitioner Nurses in Mountain View, CA

Tricia Benjamin, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 701 E El Camino Real, Mountain View, CA 94040
Phone: 650-934-7800    
Stella Lee, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 580 N Rengstorff Ave, Mountain View, CA 94043
Phone: 800-972-5547    
Caitlin Pham, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 701 E El Camino Real, Mountain View, CA 94040
Phone: 650-934-7150    
Ms. Susan Ann Tenney, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 225 San Antonio Rd, Mountain View, CA 94040
Phone: 650-948-0807    
Shelley Gallivan, NP
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Medicare: Medicare Enrolled
Practice Location: 1503 Grant Rd Ste 110, Mountain View, CA 94040
Phone: 650-484-1213    
Jamie M. Nho, MSN, NP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1010 Joaquin Rd, Mountain View, CA 94043
Phone: 510-402-8829    
Shannon Gaine, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2630 W El Camino Real, Mountain View, CA 94040
Phone: 631-848-9662    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.