Diane M Petersen, MD in Saint Louis, MO - Medicare Obstetrics/gynecology

Diane M Petersen, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Louis, Missouri. She went to Wayne State University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Mercy Womens Services Llc and her current practice location is 10010 Kennerly Rd Fl 4, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 525-6072.

Diane M Petersen is licensed to practice in Missouri (license number 2002025841) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790719342.

Contact Information

	Diane M Petersen, MD
	10010 Kennerly Rd Fl 4, Saint Louis, MO 63128-2106
	(314) 525-6072
	(314) 525-1387

Map and Direction

Physician's Profile

Full Name	Diane M Petersen
Gender	Female
Speciality	Obstetrics/gynecology
Experience	26 Years
Location	10010 Kennerly Rd Fl 4, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Diane M Petersen attended and graduated from Wayne State University School Of Medicine in 1998

NPI Data:

NPI Number: 1790719342
Provider Enumeration Date: 07/10/2006
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0345203469
Enrollment ID: I20041110000133

Medical Identifiers

Medical identifiers for Diane M Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790719342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	2002025841 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Womens Services Llc	2466699814	12

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. Diane M Petersen allows following entities to bill medicare on her behalf.

Entity Name	County Of St Louis Division Of Fiscal Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639088 PECOS PAC ID: 0941285720 Enrollment ID: O20040628000772

Entity Name	Mercy Womens Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629327788 PECOS PAC ID: 2466699814 Enrollment ID: O20130502000534

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Diane M 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
Diane M Petersen, MD 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128-2106 Ph: (314) 525-6072	Diane M Petersen, MD 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128-2106 Ph: (314) 525-6072

Reviews and Comments

Obstetrics & Gynecology Doctors in Saint Louis, MO

Dr. Patricia Tereese Jimenez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4444 Forest Park Ave, Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis, MO 63108 Phone: 314-286-2400 Fax: 314-286-2455
Anna Rabinov, ANNA RABINOV Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-3000
Shannon Michelle Grabosch, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117 Phone: 314-781-4772 Fax: 314-645-8771
Dr. Kathryn Botney, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 4005, Saint Louis, MO 63141 Phone: 314-567-5016 Fax: 314-567-1846
Dr. Ann Marie S Rockamann, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3023 N Ballas Rd Ste 600d, Saint Louis, MO 63131 Phone: 314-996-4880
Dr. Haifaa T. Younis, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2315 Dougherty Ferry Rd, Suite 109b, Saint Louis, MO 63122 Phone: 314-965-5553 Fax: 314-590-5972
Dr. Renee M Stein, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10777 Sunset Office Dr, Suite 200, Saint Louis, MO 63127 Phone: 314-842-4802 Fax: 314-849-8721

Diane M Petersen, MD - Medicare Obstetrics/gynecology in Saint Louis, MO