Katelyn Annette Peters, MD is a medicare enrolled "Internal Medicine" physician in Stoughton, Wisconsin. Her current practice location is
1001 Nygaard St, Stoughton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 877-2660.
Katelyn Annette Peters is licensed to practice in Wisconsin (license number 84406) 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 1548898182.
Physician's Profile
Full Name | Katelyn Annette Peters |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 1001 Nygaard St, Stoughton, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548898182
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800255720
- Enrollment ID: I20230710001953
Medical Identifiers
Medical identifiers for Katelyn Annette Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548898182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036-162068 (Illinois) | Secondary |
207R00000X | Internal Medicine | 125076386 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 84406 (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. Katelyn Annette Peters allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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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. Katelyn Annette Peters 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 |
Katelyn Annette Peters, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Katelyn Annette Peters, MD 1001 Nygaard St, Stoughton, WI 53589-5495 Ph: (608) 877-2660 |
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