Eric Petersen, MD in Phoenix, AZ

Eric Petersen, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Phoenix, Arizona. His current practice location is 1111 E Mcdowell Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 521-5968.

Eric Petersen is licensed to practice in Arizona (license number 70554) 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 1255727863.

Contact Information

	Eric Petersen, MD
	1111 E Mcdowell Rd, Phoenix, AZ 85006-2612
	(602) 521-5968
	(602) 521-5988

Map and Direction

Physician's Profile

Full Name	Eric Petersen
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	1111 E Mcdowell Rd, 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: 1255727863
Provider Enumeration Date: 04/09/2015
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9830550755
Enrollment ID: I20230725002030

Medical Identifiers

Medical identifiers for Eric Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255727863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	70554 (Arizona)	Secondary
2086S0127X	Surgery - Trauma Surgery	70554 (Arizona)	Primary
2083A0100X	Preventive Medicine - Aerospace Medicine	70554 (Arizona)	Secondary

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. Eric Petersen allows following entities to bill medicare on his behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

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. Eric 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
Eric Petersen, MD Trauma And Emergency Surgery Service 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 839-3644	Eric Petersen, MD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 521-5968

Reviews and Comments

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Dr. Jeromy Brink, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014 Phone: 602-277-7430 Fax: 602-279-5333
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Yafei Ouyang, MD Surgery Medicare: Medicare Enrolled Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006 Phone: 602-521-5981

Eric Petersen, MD - Medicare Surgery in Phoenix, AZ