Dr Chad Peterson, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Spanish Fork, Utah. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Aspen Dermatology Pllc and his current practice location is
114 E 800 N, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 794-1490.
Dr Chad Peterson is licensed to practice in Utah (license number 54578581204) 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 1821299751.
Physician's Profile
Full Name | Dr Chad Peterson |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 21 Years |
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Location | 114 E 800 N, Spanish Fork, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Chad Peterson attended and graduated from Western University Of Health Sciences College Of Dental Med in 2003
NPI Data:
- NPI Number: 1821299751
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385705805
- Enrollment ID: I20081202000836
Medical Identifiers
Medical identifiers for Dr Chad Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821299751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 4153 (Arizona) | Secondary |
207N00000X | Dermatology | 5457858-1204 (Utah) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 54578581204 (Utah) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Aspen Dermatology Pllc | 1355447863 | 5 |
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. Dr Chad Peterson allows following entities to bill medicare on his behalf.
Entity Name | Aspen Dermatology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407917107 PECOS PAC ID: 1355447863 Enrollment ID: O20070430000437 |
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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. Dr Chad 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 |
Dr Chad Peterson, DO 114 E 800 N, Spanish Fork, UT 84660-1209 Ph: (801) 794-1490 | Dr Chad Peterson, DO 114 E 800 N, Spanish Fork, UT 84660-1209 Ph: (801) 794-1490 |
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