Flaviane Petersen, DDS - Medicare Dentist in Roseville, CA

Flaviane Petersen, DDS is a medicare enrolled "Dentist - General Practice" provider in Roseville, California. Her current practice location is 1258 Coloma Way, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 784-1144.

Flaviane Petersen is licensed to practice in California (license number 49636) 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 1003052606.

Contact Information

Flaviane Petersen, DDS
1258 Coloma Way,
Roseville, CA 95661-4602
(916) 784-1144
(916) 786-2409



Healthcare Provider's Profile

Full NameFlaviane Petersen
GenderFemale
SpecialityDentist - General Practice
Location1258 Coloma Way, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003052606
  • Provider Enumeration Date: 01/02/2009
  • Last Update Date: 01/02/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0840511408
  • Enrollment ID: I20150608001700

Medical Identifiers

Medical identifiers for Flaviane Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003052606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 49636 (California)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. Flaviane 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 AddressPractice Location Address
Flaviane Petersen, DDS
1258 Coloma Way,
Roseville, CA 95661-4602

Ph: (916) 784-1144
Flaviane Petersen, DDS
1258 Coloma Way,
Roseville, CA 95661-4602

Ph: (916) 784-1144

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Dentist in Roseville, CA

Dr. Cindy Y Szeto, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6524 Rose Bridge Dr, Roseville, CA 95678
Phone: 415-412-3238    
Dr. Arthur Kwan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Blue Oaks Blvd, Suite 180, Roseville, CA 95747
Phone: 916-780-9688    Fax: 916-780-9698
Dr. Said Shaari, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 406 Sunrise Ave, Roseville, CA 95661
Phone: 916-789-4568    Fax: 916-789-7344
Teresa Marie Hall, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 953 Pleasant Grove Blvd, Suite 140, Roseville, CA 95678
Phone: 916-772-6248    Fax: 916-772-6235
William J Bohan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Secret Ravine Pkwy, #100, Roseville, CA 95661
Phone: 916-782-7783    Fax: 916-782-4699
Daniel Fernando Reyes Sighinolfi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3281 Rock Creek Way, Roseville, CA 95747
Phone: 916-271-4364    

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