Janette Susan Peterson, is a
Psychologist - School based in Leadore, Idaho. Janette Susan Peterson is licensed to practice in Tennessee (license number 0000641145) and her current practice location is
27 Harvey Ln, Leadore, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 303-0307.
NPI number for Janette Susan Peterson is 1407433006 and her current mailing address is Po Box 58, Leadore, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407433006.
Healthcare Provider's Profile
| Full Name | Janette Susan Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 27 Harvey Ln, Leadore, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407433006
- Provider Enumeration Date: 03/28/2021
- Last Update Date: 03/28/2021
Medical Identifiers
Medical identifiers for Janette Susan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407433006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 0000641145 (Tennessee) | 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. Janette Susan Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Janette Susan Peterson,
Po Box 58,
Leadore, ID 83464-0058
Ph: (208) 303-0307 | Janette Susan Peterson,
27 Harvey Ln,
Leadore, ID 83464-5035
Ph: (208) 303-0307 |
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