Dr Mark David Peterson, MD in Phoenix, AZ - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Dr Mark David Peterson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Phoenix, Arizona. His current practice location is 2632 N 20th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 266-2200.

Dr Mark David Peterson is licensed to practice in New York (license number 321958) 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 1326148800.

Contact Information

	Dr Mark David Peterson, MD
	2632 N 20th St, Phoenix, AZ 85006-1339
	(602) 266-2200
	(602) 240-6177

Map and Direction

Physician's Profile

Full Name	Dr Mark David Peterson
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	2632 N 20th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326148800
Provider Enumeration Date: 09/24/2006
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9032117726
Enrollment ID: I20230710003148

Medical Identifiers

Medical identifiers for Dr Mark David Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326148800	NPI	-	NPPES
147570	Medicaid	AZ
WCSKQ	Other	AZ	SUN HEALTH GROUP #
35706	Other	AZ	AZ LICENSE #
CPSO 72684	Other	AZ	ONTARIO MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	35706 (Arizona)	Secondary
2086S0129X	Surgery - Vascular Surgery	35706 (Arizona)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	321958 (New York)	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 Mark David Peterson allows following entities to bill medicare on his behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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 Mark David 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 Mark David Peterson, MD Po Box 61773, Phoenix, AZ 85082-1773 Ph: (602) 682-6701	Dr Mark David Peterson, MD 2632 N 20th St, Phoenix, AZ 85006-1339 Ph: (602) 266-2200

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Phoenix, AZ

Michael Anthony Smith, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 500, Phoenix, AZ 85013 Phone: 602-406-4000 Fax: 602-406-6498
Jeffrey T. Sugimoto, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3874 Fax: 602-212-4768
Jeremy Torstveit, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1010 E Mcdowell Rd Ste 300, Phoenix, AZ 85006 Phone: 602-900-6509
Dr. Dawn E Jaroszewski, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Dr. Modesto Jose Colon, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 E Clarendon Ave, Suite 102, Phoenix, AZ 85016 Phone: 602-253-9168 Fax: 602-251-3126
Li Zhang, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 E Clarendon Ave Ste 102, Phoenix, AZ 85016 Phone: 602-253-9168 Fax: 602-251-3126
Jenna Navarro, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 E Clarendon Ave Ste 102, Phoenix, AZ 85016 Phone: 602-253-9168

Dr Mark David Peterson, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Phoenix, AZ