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BRIDGET LEIGH PETERSEN
NPI 1184044026
Dentist in Mattituck, NY

Active since April 18, 2014PECOS Enrolled
11535 MAIN RD, MATTITUCK, NY 11952(631) 298-5021 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bridget Leigh Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGET LEIGH PETERSEN (NPI 1184044026) is an individual dentist in Mattituck, New York, licensed in New York (058009) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184044026
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBRIDGET LEIGH PETERSEN
Location Address11535 MAIN RDMattituck, NY 11952-1566
Mailing AddressPo Box 1650Mattituck, NY 11952-0904 · (631) 298-5021
Phone(631) 298-5021
Sole ProprietorYes
Enumeration DateApril 18, 2014
Last NPPES UpdateDecember 3, 2015
✔ NPI 1184044026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 058009
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11535 MAIN RD, Mattituck, NY 11952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Leigh Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANK A. KESTLER, D.D.S.
Dentist
11535 MAIN RD, POB 1650
MATTITUCK, NY 11952
Suffolk County (631) 298-5021
DR. FRANCIS A KESTLER DDS
Dentist (General Practice)
11535 MAIN RD
MATTITUCK, NY 11952
Suffolk County (631) 298-5021
DR. SUSAN KRISTEN ERICKSON DDS
Dentist
11535 MAIN RD
MATTITUCK, NY 11952
Suffolk County (631) 298-5021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridget Petersen's NPI number?

The NPI number for Bridget Petersen is 1184044026. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Bridget Petersen located?

Bridget Petersen practices at 11535 Main Rd, Mattituck, NY 11952. The listed phone number is (631) 298-5021.

What is Bridget Petersen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bridget Petersen enrolled in Medicare?

Yes. Bridget Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Bridget Petersen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Bridget Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridget Petersen was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.