Kimberly A Peterson, OT in Davis, CA - Medicare Occupational Therapist Provider

Kimberly A Peterson, OT is a medicare enrolled "Occupational Therapist" provider in Davis, California. Her current practice location is 1340 Lake Blvd, Davis, California. You can reach out to her office (for appointments etc.) via phone at (530) 753-5338.

Kimberly A Peterson is licensed to practice in California (license number OT17912) 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 1104336668.

Contact Information

	Kimberly A Peterson, OT
	1340 Lake Blvd, Davis, CA 95616-5673
	(530) 753-5338
	(530) 753-4609

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly A Peterson
Gender	Female
Speciality	Occupational Therapist
Location	1340 Lake Blvd, Davis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104336668
Provider Enumeration Date: 10/10/2017
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7810253432
Enrollment ID: I20171114002065

Medical Identifiers

Medical identifiers for Kimberly A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104336668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT17912 (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. Kimberly A Peterson allows following entities to bill medicare on her behalf.

Provider Name	Sutter Valley Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Kimberly A 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
Kimberly A Peterson, OT Po Box 255228, Sacramento, CA 95865-5228 Ph: () -	Kimberly A Peterson, OT 1340 Lake Blvd, Davis, CA 95616-5673 Ph: (530) 753-5338

Reviews and Comments

Occupational Therapist in Davis, CA

Melissa Evans, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 800-382-5011
Diane Diemer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1208 Impala Pl, Davis, CA 95616 Phone: 530-756-3872
Johnny Cheong, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Shasta Dr, Davis, CA 95616 Phone: 530-747-7000
Mrs. Suzanne Kay Mckenna-stukas, MS OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2019 Anderson Rd, Suite A, Davis, CA 95616 Phone: 530-758-2222 Fax: 530-758-2283
Mrs. Linda Arleen Hartman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8609 Mace Blvd, Davis, CA 95616 Phone: 707-678-9728
Katherine Melissa Sadoff, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 Shasta Dr, Davis, CA 95616 Phone: 530-747-7000

Kimberly A Peterson, OT - Medicare Occupational Therapist in Davis, CA