Evan Douglas Peterson, PA-C is a medicare enrolled "Physician Assistant" physician in Des Moines, Iowa. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Iowa Physicians Clinic Medical Foundation and his current practice location is
6520 Se 14th St, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at
(515) 953-1500.
Evan Douglas Peterson is licensed to practice in Iowa (license number 088343) 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 1003330036.
Physician's Profile
| Full Name | Evan Douglas Peterson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 6520 Se 14th St, Des Moines, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Evan Douglas Peterson graduated from medical school in 2017
NPI Data:
- NPI Number: 1003330036
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789958737
- Enrollment ID: I20170914003216
Medical Identifiers
Medical identifiers for Evan Douglas Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003330036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 088343 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 088343 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 971 |
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. Evan Douglas 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 Address | Practice Location Address |
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Evan Douglas Peterson, PA-C
103 Sw 3rd St Apt 403,
Des Moines, IA 50309-4832
Ph: (515) 577-6220 | Evan Douglas Peterson, PA-C
6520 Se 14th St,
Des Moines, IA 50320-1846
Ph: (515) 953-1500 |
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