Bryan Tutt Petersen, MD in Glencoe, MN - Medicare Family Practice

Bryan Tutt Petersen, MD is a medicare enrolled "Family Medicine" physician in Glencoe, Minnesota. He went to University Of Minnesota Medical School and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Glencoe Regional Health Services and his current practice location is 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 864-3121.

Bryan Tutt Petersen is licensed to practice in Minnesota (license number 39514) 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 1356339436.

Contact Information

	Bryan Tutt Petersen, MD
	1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416
	(320) 864-3121
	(320) 864-7887

Map and Direction

Physician's Profile

Full Name	Bryan Tutt Petersen
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	1805 Hennepin Ave N, Glencoe, 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:

Bryan Tutt Petersen attended and graduated from University Of Minnesota Medical School in 1995

NPI Data:

NPI Number: 1356339436
Provider Enumeration Date: 10/12/2005
Last Update Date: 11/24/2020

Medicare PECOS Information:

PECOS PAC ID: 0749354751
Enrollment ID: I20100215000816

Medical Identifiers

Medical identifiers for Bryan Tutt Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356339436	NPI	-	NPPES
658217600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	39514 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Allina Health Home Health	Saint paul, MN	Home health agency
Ridgeview Home Care Services	Waconia, MN	Home health agency
Adara Home Health Inc	Buffalo, MN	Home health agency
Allina Health Hospice & Palliative Care	Saint paul, MN	Hospice
Ridgeview Hospice	Waconia, MN	Hospice
Glencoe Regional Health Services	Glencoe, MN	Hospital
Ridgeview Medical Center	Waconia, MN	Hospital
Glencoe Regional Health Services	Glencoe, MN	Nursing home
Harmony River Living Center	Hutchinson, MN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Glencoe Regional Health Services	1759292980	37

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. Bryan Tutt Petersen allows following entities to bill medicare on his behalf.

Entity Name	Glencoe Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252

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. Bryan Tutt 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
Bryan Tutt Petersen, MD 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 Ph: (320) 864-3121	Bryan Tutt Petersen, MD 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 Ph: (320) 864-3121

Reviews and Comments

Family Medicine Doctors in Glencoe, MN

Timothy F Lane, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121
Michael Patrick Mccarthy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887
James W Jessen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121
Laura Jean Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Hennepin Ave North, Glencoe Regional Health Services, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887
Kristine Leonard Knudten, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1805 Hennepin Ave North, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887
Douglas Lee Wagoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336 Phone: 320-864-3121 Fax: 320-864-7887

Bryan Tutt Petersen, MD - Medicare Family Practice in Glencoe, MN