Sydney Petersen, - Medicare Occupational Therapist in Flagstaff, AZ

Sydney Petersen, is a medicare enrolled "Occupational Therapist" provider in Flagstaff, Arizona. Her current practice location is 800 W University Ave, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (888) 873-4221.

Sydney Petersen is licensed to practice in Arizona (license number 6314) 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 1366812869.

Contact Information

Sydney Petersen,
800 W University Ave,
Flagstaff, AZ 86001-7103
(888) 873-4221
Not Available



Healthcare Provider's Profile

Full NameSydney Petersen
GenderFemale
SpecialityOccupational Therapist
Location800 W University Ave, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366812869
  • Provider Enumeration Date: 09/28/2015
  • Last Update Date: 09/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7719221605
  • Enrollment ID: I20181204001024

Medical Identifiers

Medical identifiers for Sydney Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366812869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 6314 (Arizona)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. Sydney Petersen allows following entities to bill medicare on her behalf.
Provider NameNorthland-rural Therapy Associates
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376677914
PECOS PAC ID: 5193983526
Enrollment ID: O20120214000939

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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. Sydney 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
Sydney Petersen,
800 W University Ave,
Flagstaff, AZ 86001-7103

Ph: (888) 873-4221
Sydney Petersen,
800 W University Ave,
Flagstaff, AZ 86001-7103

Ph: (888) 873-4221

News Archive

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A scientific team led by researchers at the University of Geneva (UNIGE) and the ChariteĢ Berlin Medical University has made a completely unprecedented discovery showing how much our immune system is provoked into action when confronted by viral intruders.

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Occupational Therapist in Flagstaff, AZ

Ms. Nicole Ashley Rambeau, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2224 E Cedar Ave, Suite 1, Flagstaff, AZ 86004
Phone: 937-524-9034    
Susan R Enerson, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 E Cedar Ave, Flagstaff, AZ 86004
Phone: 928-214-7430    Fax: 928-214-6022
Clare Elizabeth Long, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2113    
Laurenlee Rae,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2580 Nakai Trl, Flagstaff, AZ 86005
Phone: 602-228-6338    
Mrs. Kathryn Sumpter Barrett, OTRL
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2054    
Mr. Scott Rice, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 219 W Oak Ave Apt 102, Flagstaff, AZ 86001
Phone: 253-250-6030    
Samantha Kasprzyk, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: Northland - Rural Therapy Associates, 2915 North 4th Street, Flagstaff, AZ 86004
Phone: 928-779-1679    Fax: 928-779-2822

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