Jessica Peterson, PHD in Fulton, MO - Medicare Psychologist Provider

Jessica Peterson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fulton, Missouri. Her current practice location is 600 E 5th St, Fulton, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 592-2762.

Jessica Peterson is licensed to practice in Missouri (license number 2015042596) 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 1578014726.

Contact Information

	Jessica Peterson, PHD
	600 E 5th St, Fulton, MO 65251-1753
	(573) 592-2762
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Peterson
Gender	Female
Speciality	Psychologist - Clinical
Location	600 E 5th St, Fulton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578014726
Provider Enumeration Date: 10/21/2016
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 4082994553
Enrollment ID: I20161130000425

Medical Identifiers

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

Identifier	Type	State	Issuer
1578014726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2015042596 (Missouri)	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. Jessica Peterson allows following entities to bill medicare on her behalf.

Entity Name	State Of Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164477873 PECOS PAC ID: 1456254226 Enrollment ID: O20040129000481

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. Jessica 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
Jessica Peterson, PHD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-2762	Jessica Peterson, PHD 600 E 5th St, Fulton, MO 65251-1753 Ph: (573) 592-2762

Reviews and Comments

Psychologist in Fulton, MO

Bryan Zolnikov, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623 Fax: 573-592-3001
Dr. Jeffrey R Nolting, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2195
Eric Martin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
Dr. Sharon Robbins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-3365
Kirsten Deming Hunter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
James Bridges, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2623
Megan O'grady, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2613

Jessica Peterson, PHD - Medicare Psychologist in Fulton, MO