David Peterson, MD in Minneapolis, MN - Medicare Emergency Medicine

David Peterson, MD is a medicare enrolled "Emergency Medicine" physician in Minneapolis, Minnesota. His current practice location is 800 East 28th Street, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-3547.

David Peterson is licensed to practice in Minnesota (license number 29403) 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 1114010972.

Contact Information

	David Peterson, MD
	800 East 28th Street, Minneapolis, MN 55407
	(612) 863-3547
	Not Available

Map and Direction

Physician's Profile

Full Name	David Peterson
Gender	Male
Speciality	Emergency Medicine
Location	800 East 28th Street, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114010972
Provider Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7113057274
Enrollment ID: I20100616000347

Medical Identifiers

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

Identifier	Type	State	Issuer
1114010972	NPI	-	NPPES
274500300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	29403 (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. David Peterson allows following entities to bill medicare on his behalf.

Entity Name	Emergency Care Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380

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. David 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
David Peterson, MD Po Box 86, Lock Box 12-0910, Minneapolis, MN 55486-0910 Ph: (612) 863-3547	David Peterson, MD 800 East 28th Street, Minneapolis, MN 55407 Ph: (612) 863-3547

Reviews and Comments

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David Peterson, MD - Medicare Emergency Medicine in Minneapolis, MN