Sydney Petersen, in Flagstaff, AZ - Medicare Occupational Therapist Provider

Sydney Petersen, is a medicare enrolled "Occupational Therapist" provider in Flagstaff, Arizona. Her current practice location is 800 W University Ave, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (888) 873-4221.

Sydney Petersen is licensed to practice in Arizona (license number 6314) 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 1366812869.

Contact Information

	Sydney Petersen,
	800 W University Ave, Flagstaff, AZ 86001-7103
	(888) 873-4221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sydney Petersen
Gender	Female
Speciality	Occupational Therapist
Location	800 W University Ave, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366812869
Provider Enumeration Date: 09/28/2015
Last Update Date: 09/28/2015

Medicare PECOS Information:

PECOS PAC ID: 7719221605
Enrollment ID: I20181204001024

Medical Identifiers

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

Identifier	Type	State	Issuer
1366812869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6314 (Arizona)	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. Sydney Petersen allows following entities to bill medicare on her behalf.

Provider Name	Northland-rural Therapy Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376677914 PECOS PAC ID: 5193983526 Enrollment ID: O20120214000939

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. Sydney 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
Sydney Petersen, 800 W University Ave, Flagstaff, AZ 86001-7103 Ph: (888) 873-4221	Sydney Petersen, 800 W University Ave, Flagstaff, AZ 86001-7103 Ph: (888) 873-4221

Reviews and Comments

Occupational Therapist in Flagstaff, AZ

Kallie Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Butler Ave, Flagstaff, AZ 86004 Phone: 785-213-1894
Alexandra Statile, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3100 E Butler Ave, Flagstaff, AZ 86004 Phone: 928-291-2710
Ms. Nicole Ashley Rambeau, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2224 E Cedar Ave, Suite 1, Flagstaff, AZ 86004 Phone: 937-524-9034
Susan R Enerson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 E Cedar Ave, Flagstaff, AZ 86004 Phone: 928-214-7430 Fax: 928-214-6022
Clare Elizabeth Long, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113
Laurenlee Rae, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Nakai Trl, Flagstaff, AZ 86005 Phone: 602-228-6338
Mrs. Kathryn Sumpter Barrett, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2054

Sydney Petersen, - Medicare Occupational Therapist in Flagstaff, AZ