Douglas Peterson, MD in Bismarck, ND

Douglas Peterson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bismarck, North Dakota. His current practice location is 900 E Broadway Ave, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 530-7000.

Douglas Peterson is licensed to practice in North Dakota (license number 5206) 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 1720015597.

Contact Information

	Douglas Peterson, MD
	900 E Broadway Ave, Bismarck, ND 58501-4520
	(701) 530-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas Peterson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	900 E Broadway Ave, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720015597
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/22/2016

Medicare PECOS Information:

PECOS PAC ID: 5193702439
Enrollment ID: I20040702001228

Medical Identifiers

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

Identifier	Type	State	Issuer
1720015597	NPI	-	NPPES
1452800	Medicaid	ND
P00441490	Other	ND	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	5206 (North Dakota)	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. Douglas Peterson allows following entities to bill medicare on his behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

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. Douglas 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
Douglas Peterson, MD Po Box 997, Bismarck, ND 58502-0997 Ph: (701) 530-7000	Douglas Peterson, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-7000

Reviews and Comments

Radiology Doctors in Bismarck, ND

Michael J Mcintee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5479
Matthew Iwamoto, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Christina Marie Tello-skjerseth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Joshua William Rampton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5422
Brian J Rau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-6249
Kyle T Darras, FNP-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 7500 University Dr, Bismarck, ND 58504 Phone: 701-355-3770
Dr. Andrew James Wilder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4251 Fax: 701-712-4272

Douglas Peterson, MD - Medicare Radiology in Bismarck, ND