Whitney Amber Petersen, PA-C in Sacramento, CA - Medicare Physician Assistant

Whitney Amber Petersen, PA-C is a medicare enrolled "Physician Assistant" in Sacramento, California. Her current practice location is 5255 Elkhorn Blvd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 334-1100.

Whitney Amber Petersen is licensed to practice in California (license number PA59770) 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 1134634330.

Contact Information

	Whitney Amber Petersen, PA-C
	5255 Elkhorn Blvd, Sacramento, CA 95842-2506
	(916) 334-1100
	(916) 334-1105

Map and Direction

Provider's Profile

Full Name	Whitney Amber Petersen
Gender	Female
Speciality	Physician Assistant
Location	5255 Elkhorn Blvd, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134634330
Provider Enumeration Date: 12/10/2017
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9436404456
Enrollment ID: I20180615000813

Medical Identifiers

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

Identifier	Type	State	Issuer
1134634330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.006427 (Illinois)	Secondary
363A00000X	Physician Assistant	PA59770 (California)	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. Whitney Amber 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
Whitney Amber Petersen, PA-C 2313 Pamela Ln, Sacramento, CA 95825-0220 Ph: (406) 396-0591	Whitney Amber Petersen, PA-C 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 Ph: (916) 334-1100

Reviews and Comments

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Whitney Amber Petersen, PA-C - Medicare Physician Assistant in Sacramento, CA