Jennifer C Peterson, MD in La Crosse, WI

Jennifer C Peterson, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in La Crosse, Wisconsin. Her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Jennifer C Peterson is licensed to practice in Wisconsin (license number 53734) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154586071.

Contact Information

	Jennifer C Peterson, MD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer C Peterson
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154586071
Provider Enumeration Date: 07/21/2008
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0648497347
Enrollment ID: I20150914001407

Medical Identifiers

Medical identifiers for Jennifer C Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154586071	NPI	-	NPPES
81315	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	13205 (North Dakota)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	075484 (Georgia)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	71077 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	53734 (Wisconsin)	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. Jennifer C Peterson allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Jennifer C 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
Jennifer C Peterson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Jennifer C Peterson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Pediatrics Doctors in La Crosse, WI

Ashley Corinne Logan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940
Clayton J Menagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9881
Judy L Klevan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Antoinette M Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Gary R Stiers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Christen R Chamberland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-785-0940

Jennifer C Peterson, MD - Medicare Pediatrics in La Crosse, WI