Brian Walter Petersen, DO is a medicare enrolled "Orthopaedic Surgery" physician in Shelbyville, Tennessee. His current practice location is
120 Frank Martin Rd Ste 200, Shelbyville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 488-8700.
Brian Walter Petersen is licensed to practice in Tennessee (license number 2291) 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 1861693095.
Physician's Profile
Full Name | Brian Walter Petersen |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 120 Frank Martin Rd Ste 200, Shelbyville, Tennessee |
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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:
- Brian Walter Petersen attended and graduated from in
NPI Data:
- NPI Number: 1861693095
- Provider Enumeration Date: 05/28/2007
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brian Walter Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861693095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | TL1160 (Wyoming) | Secondary |
207X00000X | Orthopaedic Surgery | 2291 (Tennessee) | Primary |
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. Brian Walter Petersen 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 |
Brian Walter Petersen, DO 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Brian Walter Petersen, DO 120 Frank Martin Rd Ste 200, Shelbyville, TN 37160-7195 Ph: (931) 488-8700 |
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