Erin Kathleen Petersen, MD in Chicago, IL

Erin Kathleen Petersen, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Conrad Petersen Dermatology Sc and her current practice location is 331 W Surf St Ste 700, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 832-7443.

Erin Kathleen Petersen is licensed to practice in Illinois (license number 036-141471) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952663098.

Contact Information

	Erin Kathleen Petersen, MD
	331 W Surf St Ste 700, Chicago, IL 60657-0083
	(773) 832-7443
	(773) 295-4126

Map and Direction

Physician's Profile

Full Name	Erin Kathleen Petersen
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	331 W Surf St Ste 700, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Erin Kathleen Petersen attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2012

NPI Data:

NPI Number: 1952663098
Provider Enumeration Date: 06/14/2012
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0941502397
Enrollment ID: I20160830001177

Medical Identifiers

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

Identifier	Type	State	Issuer
1952663098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036-141471 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conrad Petersen Dermatology Sc	5698106672	3

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. Erin Kathleen Petersen allows following entities to bill medicare on her behalf.

Entity Name	Conrad Petersen Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487116240 PECOS PAC ID: 5698106672 Enrollment ID: O20200506002314

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. Erin Kathleen 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
Erin Kathleen Petersen, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Erin Kathleen Petersen, MD 331 W Surf St Ste 700, Chicago, IL 60657-0083 Ph: (773) 832-7443

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Erin Kathleen Petersen, MD - Medicare Dermatology in Chicago, IL