Dale R Petersen, - Medicare Internal Medicine in Minneapolis, MN

Dale R Petersen, is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. He went to University Of Cincinnati College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Park Nicollet Clinic and his current practice location is 2001 Blaisdell Ave, Park Nicollet Clinic Minneapolis, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-8000.

Dale R Petersen is licensed to practice in Minnesota (license number 32723) 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 1841274255.

Contact Information

Dale R Petersen,
2001 Blaisdell Ave, Park Nicollet Clinic Minneapolis,
Minneapolis, MN 55404-2414
(952) 993-8000
Not Available

Map and Direction




Physician's Profile

Full NameDale R Petersen
GenderMale
SpecialityInternal Medicine
Experience35 Years
Location2001 Blaisdell Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dale R Petersen attended and graduated from University Of Cincinnati College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1841274255
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 10/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0446392823
  • Enrollment ID: I20100122000618

Medical Identifiers

Medical identifiers for Dale R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841274255NPI-NPPES
728595700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 32723 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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. Dale R Petersen allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. Dale R 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 AddressPractice Location Address
Dale R Petersen,
6465 Wayzata Blvd, Ste 315,
St Louis Park, MN 55426-1728

Ph: (952) 993-6450
Dale R Petersen,
2001 Blaisdell Ave, Park Nicollet Clinic Minneapolis,
Minneapolis, MN 55404-2414

Ph: (952) 993-8000

Reviews and Comments


Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Veterans Dr, Minneapolis, MN 55417
Phone: 612-467-3183    
Dr. Ronald Alexander Reilkoff, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 909 Fulton St Se, Minneapolis, MN 55455
Phone: 612-672-7422    
Eugenia Shmidt, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 909 Fulton St Se, Minneapolis, MN 55455
Phone: 507-284-2511    
Daniel Tesfaye Kebed, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454
Phone: 612-672-6000    Fax: 612-273-4098
Tenzin Yangchen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407
Phone: 612-863-4000    Fax: 763-236-3026
Shelley M Lennox, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 920 E 28th St, Suite 700, Minneapolis, MN 55407
Phone: 612-863-9062    Fax: 612-863-9252
Dr. Markus Meyer, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454
Phone: 612-672-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.