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Dr. Polly Wietzke Peterson

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NPI Number Detailed Information

Provider Information:

Name: Dr. Polly Wietzke Peterson
Gender: F
Provider License Number If Given: SS495

NPI Information:

NPI: 1902929698
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/9/2007

Last Update Date: 3/12/2021

Reputation Report:

Provider Business Mailing Address:

Address: 2465 US HIGHWAY 1 S UNIT 154
St Augustine, FL 32086
Phone Number: 9047428235
Fax Number: 9042177222

Provider Business Practice Location Address:

Address: 1543 KINGSLEY AVE STE 14
Orange Park, FL 32073
Phone Number: 9047428164
Fax Number: 9042177222

Provider Taxonomy:

Primary: 103TS0200X
Secondary (if any):
State: FL

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About Dr. Polly Wietzke Peterson

Dr. Polly Wietzke Peterson (DR. POLLY WIETZKE PETERSON ) is A Psychologist Physician in Orange Park, FL. The NPI Number for Dr. Polly Wietzke Peterson is 1902929698.
The current location address for Dr. Polly Wietzke Peterson is 1543 KINGSLEY AVE STE 14 Orange Park, FL 32073 and the contact number is 9047428235 and fax number is 9042177222. The mailing address for Dr. Polly Wietzke Peterson is 2465 US HIGHWAY 1 S UNIT 154 St Augustine, FL 32086- 9047428164 (mailing address contact number - 9047428235).
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Polly Wietzke Peterson ?


Answer: The NPI Number for Dr. Polly Wietzke Peterson is 1902929698

Where is Dr. Polly Wietzke Peterson located?


Answer: Dr. Polly Wietzke Peterson is located at 1543 KINGSLEY AVE STE 14 Orange Park, FL 32073.

What is the specialty for Dr. Polly Wietzke Peterson ?


Answer: The Specialty of Dr. Polly Wietzke Peterson is A Psychologist Physician.

Are there any online reviews for Dr. Polly Wietzke Peterson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Orange Park, FL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Polly Wietzke Peterson

Number of HCPCS 6
Number of Medicare Beneficiaries 25
Number of Services 677
Total Submitted Charge Amount 50755
Total Medicare Allowed Amount 39768.25
Total Medicare Payment Amount 31666.09
Total Medicare Standardized Payment Amount 34703.9
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 6
Number of Medicare Beneficiaries With Medical 25
Number of Medical Services 677
Total Medical Submitted Charge Amount 50755
Total Medical Medicare Allowed Amount 39768.25
Total Medical Medicare Payment Amount 31666.09
Total Medical Medicare Standardized Payment Amount 34703.9
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 11
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.75
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.48
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.64
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.7438

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