Jacob Christopher Peterson, MD - Medicare Family Medicine in Holdrege, NE

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Jacob Christopher Peterson, MD is a medicare enrolled "Family Medicine" physician in Holdrege, Nebraska. His current practice location is 516 W 14th Ave Ste 100, Holdrege, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 995-4431.

Jacob Christopher Peterson is licensed to practice in Nebraska (license number 29451) 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 1679954028.

Contact Information

Jacob Christopher Peterson, MD
516 W 14th Ave Ste 100,
Holdrege, NE 68949-1215
(308) 995-4431
Not Available

Map and Direction




Physician's Profile

Full NameJacob Christopher Peterson
GenderMale
SpecialityFamily Medicine
Location516 W 14th Ave Ste 100, Holdrege, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679954028
  • Provider Enumeration Date: 06/11/2015
  • Last Update Date: 01/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294040275
  • Enrollment ID: I20180507000732

Medical Identifiers

Medical identifiers for Jacob Christopher Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679954028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29451 (Nebraska)Primary

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. Jacob Christopher Peterson allows following entities to bill medicare on his behalf.
Entity NameHoldrege Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427089010
PECOS PAC ID: 2769372002
Enrollment ID: O20040318001427
Entity NameJennie M Melham Memorial Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366659773
PECOS PAC ID: 5799766440
Enrollment ID: O20040527000928
Entity NameWest Holt Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366492472
PECOS PAC ID: 2264419878
Enrollment ID: O20040701000936
Entity NameCozad Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881632883
PECOS PAC ID: 6507810389
Enrollment ID: O20070323000121
Entity NameJennie M Melham Memorial Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538232244
PECOS PAC ID: 5799766440
Enrollment ID: O20071129000446
Entity NameHoward County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154626216
PECOS PAC ID: 5698775849
Enrollment ID: O20110614000460
Entity NameVitality Family Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851097406
PECOS PAC ID: 8022480151
Enrollment ID: O20230217001572

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. Jacob Christopher 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
Jacob Christopher Peterson, MD
516 W 14th Ave Ste 100,
Holdrege, NE 68949-1215

Ph: (308) 995-4431		Jacob Christopher Peterson, MD
516 W 14th Ave Ste 100,
Holdrege, NE 68949-1215

Ph: (308) 995-4431

Reviews and Comments


Family Medicine Doctors in Holdrege, NE

Mr. Michael J Huckabee, PA
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 516 W 14th Ave, Ste 100, Holdrege, NE 68949
Phone: 308-995-4431    Fax: 308-995-3247
Kathryn Thelen, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 516 W 14th Ave Ste 100, Holdrege, NE 68949
Phone: 308-955-4431    Fax: 308-995-3247
Shane Michael Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 516 W 14th Ave Ste 100, Holdrege, NE 68949
Phone: 308-995-4431    Fax: 308-995-3247
Jeffrey Reed Berney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 516 W 14th Ave, Ste 100, Holdrege, NE 68949
Phone: 308-995-4431    Fax: 308-995-3247
Dr. Krista Marie Stoecker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 516 W 14th Ave Ste 100, Holdrege, NE 68949
Phone: 308-995-4431    Fax: 308-995-5912
Jessica Jo Farnsworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 516 W 14th Ave, Ste 100, Holdrege, NE 68949
Phone: 308-995-4431    Fax: 308-995-3247
Ms. Charlotte A Wirges, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1315 Tibbals Street, Holdrege, NE 68949
Phone: 308-995-6111    Fax: 308-995-4868

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.