Dr Deric Wymer Peterson, AUD in Marshall, MN - Medicare Qualified Audiologist Provider

Dr Deric Wymer Peterson, AUD is a medicare enrolled "Audiologist" provider in Marshall, Minnesota. He went to University Of Nebraska College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Jka5 Enterprises and his current practice location is 1424 E College Dr Ste 200, Marshall, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 532-2687.

Dr Deric Wymer Peterson is licensed to practice in Minnesota (license number 8599) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659698959.

Contact Information

	Dr Deric Wymer Peterson, AUD
	1424 E College Dr Ste 200, Marshall, MN 56258-2087
	(507) 532-2687
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Deric Wymer Peterson
Gender	Male
Speciality	Qualified Audiologist
Experience	13 Years
Location	1424 E College Dr Ste 200, Marshall, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Deric Wymer Peterson attended and graduated from University Of Nebraska College Of Medicine in 2011

NPI Data:

NPI Number: 1659698959
Provider Enumeration Date: 04/26/2010
Last Update Date: 12/14/2011

Medicare PECOS Information:

PECOS PAC ID: 1153516182
Enrollment ID: I20101116000387

Medical Identifiers

Medical identifiers for Dr Deric Wymer Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659698959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	8599 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jka5 Enterprises	3779800586	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Deric Wymer Peterson allows following entities to bill medicare on his behalf.

Provider Name	Jka5 Enterprises
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568869188 PECOS PAC ID: 3779800586 Enrollment ID: O20150316000889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deric Wymer Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Deric Wymer Peterson, AUD 1424 E College Dr Ste 200, Marshall, MN 56258-2087 Ph: () -	Dr Deric Wymer Peterson, AUD 1424 E College Dr Ste 200, Marshall, MN 56258-2087 Ph: (507) 532-2687

Reviews and Comments

Audiologist in Marshall, MN

Hearing And Speech Center Audiologist Medicare: Medicare Enrolled Practice Location: 1424 East College Drive, Suite 200, Marshall, MN 56258 Phone: 507-532-2687 Fax: 507-337-1054
Dr. Amber Landsman, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1424 E College Dr Ste 200, Marshall, MN 56258 Phone: 507-532-2687
Linda S Grong, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-2687 Fax: 507-537-9190
Mrs. Lea M Williamson, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-2687 Fax: 507-537-9190
Sharyce Marie Baartman, AU.D. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 1424 E College Dr, Suite 200, Marshall, MN 56258 Phone: 507-532-2687
Dr. Jessica Landsman, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661

Dr Deric Wymer Peterson, AUD - Medicare Audiologist in Marshall, MN