Dr Erik Jordan Peterson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Wyoming, Minnesota. He went to Medical College Of Wisconsin and graduated in 2009 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Infinite Health Collaborative Pa and his current practice location is
5130 Fairview Blvd Ste 100, Wyoming, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 439-8807.
Dr Erik Jordan Peterson is licensed to practice in Minnesota (license number 57620) 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 1174766505.
Physician's Profile
| Full Name | Dr Erik Jordan Peterson |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 15 Years |
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| Location | 5130 Fairview Blvd Ste 100, Wyoming, Minnesota |
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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. |
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Medical Education and Training:
- Dr Erik Jordan Peterson attended and graduated from Medical College Of Wisconsin in 2009
NPI Data:
- NPI Number: 1174766505
- Provider Enumeration Date: 04/15/2009
- Last Update Date: 01/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395969786
- Enrollment ID: I20140829001812
Medical Identifiers
Medical identifiers for Dr Erik Jordan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174766505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 62173-20 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 57620 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Infinite Health Collaborative Pa | 1052225042 | 761 |
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 Erik Jordan Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Infinite Health Collaborative Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574 |
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| Entity Name | St. Croix Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20110929000165 |
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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 Erik Jordan 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 |
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Dr Erik Jordan Peterson, MD
5130 Fairview Blvd Ste 100,
Wyoming, MN 55092-8050
Ph: (651) 439-8807 | Dr Erik Jordan Peterson, MD
5130 Fairview Blvd Ste 100,
Wyoming, MN 55092-8050
Ph: (651) 439-8807 |
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