Charles E Peterson, MD in South Bend, IN

Charles E Peterson, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in South Bend, Indiana. His current practice location is 621 Memorial Dr Ste 502, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-5875.

Charles E Peterson is licensed to practice in Indiana (license number 01028400A) 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 1326025495.

Contact Information

	Charles E Peterson, MD
	621 Memorial Dr Ste 502, South Bend, IN 46601-1075
	(574) 647-5875
	(574) 647-5878

Map and Direction

Physician's Profile

Full Name	Charles E Peterson
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	621 Memorial Dr Ste 502, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326025495
Provider Enumeration Date: 12/29/2005
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0244236073
Enrollment ID: I20091222000283

Medical Identifiers

Medical identifiers for Charles E Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326025495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	01028400A (Indiana)	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. Charles E Peterson allows following entities to bill medicare on his behalf.

Entity Name	Allied Physicians Of Michiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468

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. Charles E 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
Charles E Peterson, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Charles E Peterson, MD 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 Ph: (574) 647-5875

Reviews and Comments

Surgery Doctors in South Bend, IN

Marie E Unruh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Dr. Robert G. Credi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878
Scott G Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878
Michael C Rotkis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1887
William Anderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 515-643-5802
George B Friend, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1888
Daniel P. Srikureja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878

Charles E Peterson, MD - Medicare Surgery in South Bend, IN