All Medicaid billing entities listing PETERSEN, JASON (PHYSICIAN-OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $152K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EYE CLINIC OF SANDPOINT PA | SANDPOINT, ID | Eyewear Supplier | $152K |