Dr Paul Peterson Iii, DO is a
Internal Medicine physician based in Buena, New Jersey. Dr Paul Peterson Iii is licensed to practice in New Jersey (license number 25MB03868000) and his current practice location is 761 S Harding Hwy, Buena, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 697-0111.
NPI number for Dr Paul Peterson Iii is 1730127564 and his current mailing address is Po Box 310, Richland, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730127564.
Physician's Profile
| Full Name | Dr Paul Peterson Iii |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 761 S Harding Hwy, Buena, New Jersey |
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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: 1730127564
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 04/26/2019
Medical Identifiers
Medical identifiers for Dr Paul Peterson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730127564 | NPI | - | NPPES |
| 1730127564 | Other | NJ | MEDICARE NPI |
| 1659308 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MB03868000 (New Jersey) | 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 Paul Peterson Iii 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 Paul Peterson Iii, DO
Po Box 310,
Richland, NJ 08350-0310
Ph: (856) 697-0300 | Dr Paul Peterson Iii, DO
761 S Harding Hwy,
Buena, NJ 08310-9732
Ph: (856) 697-0111 |
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