Doctor profile · Federal record
Dr. Tess Petersen
Student in an Organized Health Care Education/Training Program (CMS: Gastroenterology) · Wynnewood, PA
- NPI 1235691486
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 E Lancaster Ave
Wynnewood, PA 190963450
(484) 476-6424
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- March 9, 2026
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Pennsylvania #490438
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235691486. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$110
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 1 | $110.16 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
62
Patients
29
Total drug cost
$917
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 22 | 12 | $298 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 17 | 17 | $285 |
| Loperamide (Loperamide Hcl) | Brand | 12 | 0 | $164 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 11 | 0 | $170 |
Frequently asked questions
What is Dr. Tess Petersen's medical specialty?
Dr. Tess Petersen practices Student in an Organized Health Care Education/Training Program in Wynnewood, PA.
Where does Dr. Tess Petersen practice?
Dr. Tess Petersen practices at 100 E Lancaster Ave, Wynnewood, PA 190963450. Office phone: 4844766424.
What is Dr. Tess Petersen's NPI?
Dr. Tess Petersen's National Provider Identifier (NPI) is 1235691486, issued by NPPES.
Does Dr. Tess Petersen accept Medicare assignment?
Yes. Dr. Tess Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.