Jennifer S Peterson, MD is a medicare enrolled "Dermatology" physician in Dodgeville, Wisconsin. She went to Medical College Of Wisconsin and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Peterson Dermatology Sc and her current practice location is
1204 Joseph St # 2, Dodgeville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 574-5044.
Jennifer S Peterson is licensed to practice in Wisconsin (license number 41433-020) 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 1700841178.
Physician's Profile
| Full Name | Jennifer S Peterson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 26 Years |
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| Location | 1204 Joseph St # 2, Dodgeville, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Jennifer S Peterson attended and graduated from Medical College Of Wisconsin in 1998
NPI Data:
- NPI Number: 1700841178
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 01/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870515232
- Enrollment ID: I20051228000679
Medical Identifiers
Medical identifiers for Jennifer S Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700841178 | NPI | - | NPPES |
| 1040967 | Other | WI | PHYSICIANS PLUS |
| 34220800 | Medicaid | WI | |
| 9990 | Other | WI | DEAN HEALTH INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 41433-020 (Wisconsin) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 41433-020 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Peterson Dermatology Sc | 8426376351 | 2 |
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 S Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Reedsburg Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891796710
PECOS PAC ID: 9830008259
Enrollment ID: O20031208000083 |
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| Entity Name | Peterson Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023406493
PECOS PAC ID: 8426376351
Enrollment ID: O20150406000804 |
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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 S 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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Jennifer S Peterson, MD
1204 Joseph St # 2,
Dodgeville, WI 53533-9670
Ph: (608) 574-5044 | Jennifer S Peterson, MD
1204 Joseph St # 2,
Dodgeville, WI 53533-9670
Ph: (608) 574-5044 |
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