Susan Petersen, MPT in Costa Mesa, CA - Medicare Physical Therapist Provider

Susan Petersen, MPT is a medicare enrolled "Physical Therapist" provider in Costa Mesa, California. Her current practice location is 2012 Phalarope Ct, Costa Mesa, California. You can reach out to her office (for appointments etc.) via phone at (714) 580-2868.

Susan Petersen is licensed to practice in California (license number 18793) 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 1235508581.

Contact Information

	Susan Petersen, MPT
	2012 Phalarope Ct, Costa Mesa, CA 92626-4734
	(714) 580-2868
	(714) 241-1007

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Petersen
Gender	Female
Speciality	Physical Therapist
Location	2012 Phalarope Ct, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235508581
Provider Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015

Medicare PECOS Information:

PECOS PAC ID: 3870531635
Enrollment ID: I20050421000795

Medical Identifiers

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

Identifier	Type	State	Issuer
1235508581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	18793 (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. Susan Petersen allows following entities to bill medicare on her behalf.

Provider Name	Homeworks Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578722823 PECOS PAC ID: 2466515358 Enrollment ID: O20110808000508

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 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
Susan Petersen, MPT 2012 Phalarope Ct, Costa Mesa, CA 92626-4734 Ph: (714) 580-2868	Susan Petersen, MPT 2012 Phalarope Ct, Costa Mesa, CA 92626-4734 Ph: (714) 580-2868

Reviews and Comments

Physical Therapist in Costa Mesa, CA

Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871

Susan Petersen, MPT - Medicare Physical Therapist in Costa Mesa, CA