Dr Nils W Peterson, MD is a
Otolaryngology physician based in Elmira, New York. Dr Nils W Peterson is licensed to practice in New York (license number 113052) and his current practice location is 200 Madison Ave, Elmira, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 734-1581.
NPI number for Dr Nils W Peterson is 1386684488 and his current mailing address is 722 W Water St, Elmira, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386684488.
Physician's Profile
| Full Name | Dr Nils W Peterson |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 200 Madison Ave, Elmira, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386684488
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 04/16/2014
Medical Identifiers
Medical identifiers for Dr Nils W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386684488 | NPI | - | NPPES |
| 00358296 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 113052 (New York) | 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 Nils W Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nils W Peterson, MD
722 W Water St,
Elmira, NY 14905-2435
Ph: (607) 271-2093 | Dr Nils W Peterson, MD
200 Madison Ave,
Elmira, NY 14901-3218
Ph: (607) 734-1581 |
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