Andrew D Petersen, DO - Family Medicine in Provo, UT

Andrew D Petersen, DO is a Family Medicine physician based in Provo, Utah. Andrew D Petersen is licensed to practice in Utah (license number 8382699-1204) and his current practice location is 524 W 300 N Ste 203, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 607-5268.

NPI number for Andrew D Petersen is 1124011572 and his current mailing address is 524 W 300 N Ste 203, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124011572.

Contact Information

Andrew D Petersen, DO
524 W 300 N Ste 203,
Provo, UT 84601-2669
(801) 607-5268
(801) 607-5271



Physician's Profile

Full NameAndrew D Petersen
GenderMale
SpecialityFamily Medicine
Location524 W 300 N Ste 203, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124011572
  • Provider Enumeration Date: 08/31/2005
  • Last Update Date: 05/21/2014

Medical Identifiers

Medical identifiers for Andrew D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124011572NPI-NPPES
184033201MedicaidTX
207Q00000XOtherKSTAXONOMY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M4441 (Texas)Secondary
207Q00000XFamily Medicine 8382699-1204 (Utah)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. Andrew D Petersen 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 AddressPractice Location Address
Andrew D Petersen, DO
524 W 300 N Ste 203,
Provo, UT 84601-2669

Ph: (801) 607-5268
Andrew D Petersen, DO
524 W 300 N Ste 203,
Provo, UT 84601-2669

Ph: (801) 607-5268

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Family Medicine Doctors in Provo, UT

Dr. Robert Joel Bush, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601
Phone: 801-852-1443    
Janee Namealoha Sells, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604
Phone: 385-375-8724    
Dr. Marlin L Christianson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 West 940 North, Provo, UT 84604
Phone: 801-357-7930    Fax: 801-357-7014
Tyson Schwab,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604
Phone: 801-357-1770    
Mr. Gregory Lawrence Nielsen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604
Phone: 801-422-2771    Fax: 801-422-0761
Mr. Tyler Jason Fieldsted, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 475 W 940 N, Provo, UT 84604
Phone: 801-357-7926    Fax: 801-357-7927
Dr. Matthew Craig Evans, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1157 N 300 W, #201, Provo, UT 84604
Phone: 801-581-2000    

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