Dr Mark Irwin Petersen, MD is a medicare enrolled "Internal Medicine" physician in Tonganoxie, Kansas. His current practice location is
21107 Donahoo Rd, Tonganoxie, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 742-4084.
Dr Mark Irwin Petersen is licensed to practice in Kansas (license number 0421601) 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 1881647543.
Physician's Profile
| Full Name | Dr Mark Irwin Petersen |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 21107 Donahoo Rd, Tonganoxie, Kansas |
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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 Mark Irwin Petersen attended and graduated from in
NPI Data:
- NPI Number: 1881647543
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark Irwin Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881647543 | NPI | - | NPPES |
| 2050317102 | Other | | RAILROAD MEDICARE |
| 100135660B | Medicaid | KS | |
| 13217089 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 04-21601 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 0421601 (Kansas) | Primary |
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 Irwin 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 Mark Irwin Petersen, MD
Po Box 996,
Tonganoxie, KS 66086-0996
Ph: (913) 742-4084 | Dr Mark Irwin Petersen, MD
21107 Donahoo Rd,
Tonganoxie, KS 66086-4153
Ph: (913) 742-4084 |
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