Dr Courtney Peterson, DMD in Buffalo, NY - Medicare Dentist Provider

Dr Courtney Peterson, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Buffalo, New York. Her current practice location is 462 Grider St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 898-1736.

Dr Courtney Peterson is licensed to practice in New York (license number 058555) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649658691.

Contact Information

	Dr Courtney Peterson, DMD
	462 Grider St, Buffalo, NY 14215-3021
	(716) 898-1736
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Courtney Peterson
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	462 Grider St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649658691
Provider Enumeration Date: 05/11/2015
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 3870821879
Enrollment ID: I20190829001583

Medical Identifiers

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

Identifier	Type	State	Issuer
1649658691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	058555 (New York)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	058555 (New York)	Primary

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 Courtney Peterson allows following entities to bill medicare on her behalf.

Entity Name	Erie County Medical Center Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538

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 Courtney 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 Courtney Peterson, DMD 908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019 Ph: (716) 692-3302	Dr Courtney Peterson, DMD 462 Grider St, Buffalo, NY 14215-3021 Ph: (716) 898-1736

Reviews and Comments

Dentist in Buffalo, NY

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Dr. Stephen Neal Abel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 Squire Hall, Buffalo, NY 14214 Phone: 954-262-1906
Dr. Shashidhar Ramchandrareddy, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3302 Sheridan Dr, Buffalo, NY 14226 Phone: 617-820-9291

Dr Courtney Peterson, DMD - Medicare Dentist in Buffalo, NY