Dr Daniel S Petersen, MD in Fitchburg, WI

Dr Daniel S Petersen, MD is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Fitchburg, Wisconsin. His current practice location is 2844 Index Rd, Fitchburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 229-7979.

Dr Daniel S Petersen is licensed to practice in Wisconsin (license number 77190-20) 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 1578049763.

Contact Information

	Dr Daniel S Petersen, MD
	2844 Index Rd, Fitchburg, WI 53713-3117
	(608) 229-7979
	(608) 229-8110

Map and Direction

Physician's Profile

Full Name	Dr Daniel S Petersen
Gender	Male
Speciality	Family Medicine - Sleep Medicine
Location	2844 Index Rd, Fitchburg, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578049763
Provider Enumeration Date: 07/11/2018
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2860895521
Enrollment ID: I20220817000326

Medical Identifiers

Medical identifiers for Dr Daniel S Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578049763	NPI	-	NPPES
1578049763	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125.073406 (Illinois)	Secondary
207QS1201X	Family Medicine - Sleep Medicine	77190-20 (Wisconsin)	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. Dr Daniel S Petersen allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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 Daniel S 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
Dr Daniel S Petersen, MD 2844 Index Rd, Fitchburg, WI 53713-3117 Ph: (608) 229-7979	Dr Daniel S Petersen, MD 2844 Index Rd, Fitchburg, WI 53713-3117 Ph: (608) 229-7979

Reviews and Comments

Family Medicine Doctors in Fitchburg, WI

Mark P. Huth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-661-7200
Katherine A Mccreary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300
Alida M Evans, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 Fax: 608-274-4224
Carole Elizabeth Perry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 Fax: 608-274-4224
James H Shropshire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2690 Research Park Dr, Suite 240, Fitchburg, WI 53711 Phone: 608-417-8585
Dr. Wendy L Molaska, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2990 Triverton Pike Dr # 101, Fitchburg, WI 53711 Phone: 608-305-4515 Fax: 608-721-6006
Lavanya Rajagopalan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-661-7200

Dr Daniel S Petersen, MD - Medicare Family Medicine in Fitchburg, WI