Dr Dustin J Petersen, MD in Fort Wayne, IN

Dr Dustin J Petersen, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Fort Wayne, Indiana. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Parkview Health System Inc and his current practice location is 11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 266-8900.

Dr Dustin J Petersen is licensed to practice in Indiana (license number 01073898A) 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 1265661383.

Contact Information

	Dr Dustin J Petersen, MD
	11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715
	(260) 266-8900
	(260) 266-8935

Map and Direction

Physician's Profile

Full Name	Dr Dustin J Petersen
Gender	Male
Speciality	General Practice
Experience	17 Years
Location	11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana
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 Dustin J Petersen graduated from medical school in 2007

NPI Data:

NPI Number: 1265661383
Provider Enumeration Date: 07/10/2009
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0547408619
Enrollment ID: I20170302002444

Medical Identifiers

Medical identifiers for Dr Dustin J Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265661383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	26510 (West Virginia)	Secondary
208600000X	Surgery	01073898A (Indiana)	Secondary
2086S0102X	Surgery - Surgical Critical Care	26510 (West Virginia)	Secondary
2086S0127X	Surgery - Trauma Surgery	26510 (West Virginia)	Secondary
2086S0127X	Surgery - Trauma Surgery	01073898A (Indiana)	Secondary
2086S0102X	Surgery - Surgical Critical Care	01073898A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Health System Inc	2163336967	1192

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 Dustin J Petersen allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Visiting Nurse And Hospice Home Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083751002 PECOS PAC ID: 4082703608 Enrollment ID: O20090722000760

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 Dustin J 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 Dustin J Petersen, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Dustin J Petersen, MD 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 Ph: (260) 266-8900

Reviews and Comments

Surgery Doctors in Fort Wayne, IN

Dr. Barton Wade Williams, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11108 Parkview Circle Dr Ste 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Dr. Ian H. Cook, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805 Phone: 260-426-5431
Dr. Patricia L Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Dr. Paul Mitchell Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Lindsay B Hardley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845
Kingsley Saahene Okai, MD Surgery Medicare: Medicare Enrolled Practice Location: 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804 Phone: 260-969-7121 Fax: 260-479-4614
Dr. Keith David Clancy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804 Phone: 260-458-3610 Fax: 260-458-3611

Dr Dustin J Petersen, MD - Medicare General Practice in Fort Wayne, IN