Dr Elizabeth Michael Peterson, MD is a medicare enrolled "Pediatrics" physician in Beaver Dam, Wisconsin. Her current practice location is
109 Warren St, Suite 4, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 885-3305.
Dr Elizabeth Michael Peterson is licensed to practice in Wisconsin (license number 46524-020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417958026.
Physician's Profile
Full Name | Dr Elizabeth Michael Peterson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 109 Warren St, Beaver Dam, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417958026
- Provider Enumeration Date: 08/04/2005
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799712477
- Enrollment ID: I20050726000206
Medical Identifiers
Medical identifiers for Dr Elizabeth Michael Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417958026 | NPI | - | NPPES |
34638800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 46524-020 (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 Elizabeth Michael Peterson allows following entities to bill medicare on her behalf.
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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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 Elizabeth Michael 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 Elizabeth Michael Peterson, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Dr Elizabeth Michael Peterson, MD 109 Warren St, Suite 4, Beaver Dam, WI 53916-3082 Ph: (920) 885-3305 |
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