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IndividualActivePrescriber

Tyler Gavin Petersen

MD

Student in an Organized Health Care Education/Training Program

NPI: 1992557383Cooperstown, New York, 13326(607) 547-3456Male

About Tyler Gavin Petersen

Tyler Gavin Petersen, MD, is a male healthcare professional specializing in Student in an Organized Health Care Education/Training Program, registered under National Provider Identifier (NPI) number 1992557383.

Their primary practice is located at 1 ATWELL RD, Cooperstown, New York 13326. Patients can reach the office at (607) 547-3456. Tyler Gavin Petersen is authorized to prescribe medications. Tyler Gavin Petersen has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1992557383
Entity Type
Individual
First Name
Tyler
Last Name
Petersen
Credential
MD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1 ATWELL RD
City
Cooperstown
State
New York
ZIP
13326-1301
Country
United States
Phone
(607) 547-3456

Specialty & Taxonomy

Primary Specialty
Student in an Organized Health Care Education/Training Program
Classification
Student in an Organized Health Care Education/Training Program
Taxonomy Code
390200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1 ATWELL RD
City
COOPERSTOWN
State
NY
ZIP
133261301

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Tyler Gavin Petersen's NPI number?
Tyler Gavin Petersen's National Provider Identifier (NPI) is 1992557383. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Tyler Gavin Petersen specialize in?
Tyler Gavin Petersen specializes in Student in an Organized Health Care Education/Training Program.
Where is Tyler Gavin Petersen located?
Tyler Gavin Petersen practices at 1 ATWELL RD, Cooperstown, New York 13326. You can reach them by phone at (607) 547-3456.
Does Tyler Gavin Petersen accept Medicare?
Based on available data, Tyler Gavin Petersen is not currently enrolled in the Medicare program.
Does Tyler Gavin Petersen offer telehealth or virtual visits?
Tyler Gavin Petersen does not currently offer telehealth services. In-person visits are required at their practice location.
Can Tyler Gavin Petersen prescribe medications?
Yes, Tyler Gavin Petersen is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Tyler Gavin Petersen is 1992557383.