Stephanie Lynn Petersen, FNP - Medicare Nurse Practitioner in Charleston, SC

Stephanie Lynn Petersen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charleston, South Carolina. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Stephanie Lynn Petersen is licensed to practice in South Carolina (license number 22348) 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 1114249810.

Contact Information

Stephanie Lynn Petersen, FNP
171 Ashley Ave,
Charleston, SC 29425-0100
(843) 792-1414
Not Available



Provider's Profile

Full NameStephanie Lynn Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114249810
  • Provider Enumeration Date: 02/22/2010
  • Last Update Date: 11/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022147065
  • Enrollment ID: I20160715001556

Medical Identifiers

Medical identifiers for Stephanie Lynn Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114249810NPI-NPPES
500672839MedicaidOR
2038729MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP60633476 (Washington)Secondary
363LF0000XNurse Practitioner - Family 22348 (South Carolina)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. Stephanie Lynn Petersen allows following entities to bill medicare on her behalf.
Entity NameThe Vancouver Clinic Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992759427
PECOS PAC ID: 3173436490
Enrollment ID: O20031111000793

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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. Stephanie Lynn 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
Stephanie Lynn Petersen, FNP
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Stephanie Lynn Petersen, FNP
171 Ashley Ave,
Charleston, SC 29425-0100

Ph: (843) 792-1414

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Nurse Practitioner Nurses in Charleston, SC

Marsha Susan Voges, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4115 Dorchester Road, Concentra Medical Center, Charleston, SC 29405
Phone: 843-554-6737    Fax: 843-554-3356
Mrs. Pamela Staker, MSN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 Bee St, Charleston, SC 29401
Phone: 843-577-5011    
Karen D Doll, ANP, CVNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Medical University Of South Carolina, 114 Doughty Street Suite 654, Charleston, SC 29424
Phone: 843-876-4854    Fax: 843-876-4413
Julie Mackay Hughes, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2070 Northbook Blvd, Ste A16, Charleston, SC 29405
Phone: 843-818-6102    
Kristen Slagel Garrett, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2051 Charlie Hall Blvd, Charleston, SC 29414
Phone: 843-573-2535    Fax: 843-573-2534
Lindsey Hendrickson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Mrs. Erin Kosak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Wappoo Creek Dr, Charleston, SC 29412
Phone: 843-796-7171    Fax: 843-795-7171

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