Dr Matthew J Peterson, DDS in Cambridge, MN

Dr Matthew J Peterson, DDS is a medicare enrolled "Dentist - General Practice" provider in Cambridge, Minnesota. His current practice location is 135 Opportunity S Blvd, Cambridge, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 689-1554.

Dr Matthew J Peterson is licensed to practice in Minnesota (license number 11782) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902993629.

Contact Information

	Dr Matthew J Peterson, DDS
	135 Opportunity S Blvd, Cambridge, MN 55008
	(763) 689-1554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew J Peterson
Gender	Male
Speciality	Dentist - General Practice
Location	135 Opportunity S Blvd, Cambridge, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902993629
Provider Enumeration Date: 10/06/2006
Last Update Date: 10/19/2015

Medicare PECOS Information:

PECOS PAC ID: 1557513223
Enrollment ID: I20151123002342

Medical Identifiers

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

Identifier	Type	State	Issuer
1902993629	NPI	-	NPPES
20-2797371	Other	MN	FED TAX ID #
307G4CA	Other	MN	BLUE CROSS BLUE SHIELD
7845201	Other	MN	MN TAX ID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	11782 (Minnesota)	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 Matthew J Peterson allows following entities to bill medicare on his behalf.

Entity Name	Matthew J Peterson, Dds, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366539082 PECOS PAC ID: 1456651553 Enrollment ID: O20151120002393

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 Matthew J 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 Matthew J Peterson, DDS 135 Opportunity S Blvd, Cambridge, MN 55008 Ph: (763) 689-1554	Dr Matthew J Peterson, DDS 135 Opportunity S Blvd, Cambridge, MN 55008 Ph: (763) 689-1554

Reviews and Comments

Dentist in Cambridge, MN

Dr. Benjamin Lee Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1596 2nd Ave Ne Ste A, Cambridge, MN 55008 Phone: 763-689-5699
Dr. Brian Richard Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 2nd Ave Se, Cambridge, MN 55008 Phone: 763-689-1161 Fax: 763-552-1905
Matthew Sievers, Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 Birch St N Ste 106, Cambridge, MN 55008 Phone: 763-689-3134
Dr. Alejandro Cisneros, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Opportunity Blvd S, Cambridge, MN 55008 Phone: 763-689-1554
Dr. James Arthur Schornstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 Rum River Dr, Cambridge, MN 55008 Phone: 763-689-3125 Fax: 763-689-3125
Dr. Tony Kaili Zhang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Opportunity Blvd S Ste A, Cambridge, MN 55008 Phone: 716-331-0120
Mckenzie Rae Balego, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1596 2nd Ave Ne Ste A, Cambridge, MN 55008 Phone: 763-689-5699

Dr Matthew J Peterson, DDS - Medicare Dentist in Cambridge, MN