Dr Paul Charles Peterson, MD - Medicare Neurology in Saint Cloud, MN

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Dr Paul Charles Peterson, MD is a medicare enrolled "Psychiatry & Neurology - Vascular Neurology" physician in Saint Cloud, Minnesota. He went to University Of Texas Medical Branch At Galveston and graduated in 1995 and has 29 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Centracare Clinic, St Lukes Hospital Of Duluth and his current practice location is 1200 6th Ave N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 255-7891.

Dr Paul Charles Peterson is licensed to practice in Minnesota (license number 64851) 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 1902805518.

Contact Information

Dr Paul Charles Peterson, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2735
(320) 255-7891
(320) 255-5882

Map and Direction




Physician's Profile

Full NameDr Paul Charles Peterson
GenderMale
SpecialityNeurology
Experience29 Years
Location1200 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul Charles Peterson attended and graduated from University Of Texas Medical Branch At Galveston in 1995
  NPI Data:
  • NPI Number: 1902805518
  • Provider Enumeration Date: 07/15/2005
  • Last Update Date: 04/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668453564
  • Enrollment ID: I20190709002811

Medical Identifiers

Medical identifiers for Dr Paul Charles Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902805518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 200300395 (North Carolina)Secondary
2084S0012XPsychiatry & Neurology - Sleep Medicine 200300395 (North Carolina)Secondary
2084V0102XPsychiatry & Neurology - Vascular Neurology 200300395 (North Carolina)Secondary
2084V0102XPsychiatry & Neurology - Vascular Neurology 64851 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital
St Lukes HospitalDuluth, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632
St Lukes Hospital Of Duluth7113834839366

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 Paul Charles Peterson allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameSt Lukes Hospital Of Duluth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902845068
PECOS PAC ID: 7113834839
Enrollment ID: O20031120000212
Entity NameCentracare Health System - Sauk Centre
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578813762
PECOS PAC ID: 4981857216
Enrollment ID: O20130116000380
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683
Entity NameCentracare Health System - Sauk Centre
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740553932
PECOS PAC ID: 4981857216
Enrollment ID: O20140523001292

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 Paul Charles 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 AddressPractice Location Address
Dr Paul Charles Peterson, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2736

Ph: (320) 255-7891		Dr Paul Charles Peterson, MD
1200 6th Ave N,
Saint Cloud, MN 56303-2735

Ph: (320) 255-7891

Reviews and Comments


Psychiatry & Neurology Doctors in Saint Cloud, MN

Elizabeth Rende,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Dr. Kurt Lawrence Fox, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-252-1670    Fax: 320-255-6378
Dale Robert Anderson, MS CPRP
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301
Phone: 320-240-3324    Fax: 320-240-3339
Leah Ann Thronaum, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-240-2829    Fax: 320-240-2830
Dr. Jaya Johari Varma, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-255-6480    Fax: 320-255-6426
Dr. Sherrie Lynn Herendeen, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-255-6480    
Pushp Raj Kapoor, MD, MRCPI
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-240-2829    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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