Kevin A Peterson, MD in Minneapolis, MN - Medicare Family Medicine

Kevin A Peterson, MD is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. His current practice location is 2001 Bloomington Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 638-0700.

Kevin A Peterson is licensed to practice in Minnesota (license number 31945) 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 1538243779.

Contact Information

	Kevin A Peterson, MD
	2001 Bloomington Ave, Minneapolis, MN 55404-3074
	(612) 638-0700
	(612) 627-4205

Map and Direction

Physician's Profile

Full Name	Kevin A Peterson
Gender	Male
Speciality	Family Medicine
Location	2001 Bloomington Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538243779
Provider Enumeration Date: 10/24/2006
Last Update Date: 01/28/2013

Medicare PECOS Information:

PECOS PAC ID: 7517002819
Enrollment ID: I20100310000636

Medical Identifiers

Medical identifiers for Kevin A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538243779	NPI	-	NPPES
55D00PE	Other	MN	BLUE CROSS BLUE SHIELD
267390800	Medicaid	MN
HP16946	Other	MN	HEALTH PARTNERS
01-00482	Other	MN	MEDICA CHOICE
768302	Other	MN	ARAZ
1008691	Other	MN	PREFERRED ONE
102872	Other	MN	UCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	31945 (Minnesota)	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. Kevin A Peterson allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Kevin A 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
Kevin A Peterson, MD 420 Delaware St Se, University Of Minnesota Physicians, Minneapolis, MN 55455-0341 Ph: (651) 772-3461	Kevin A Peterson, MD 2001 Bloomington Ave, Minneapolis, MN 55404-3074 Ph: (612) 638-0700

Reviews and Comments

Family Medicine Doctors in Minneapolis, MN

David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000
Rachel Ann Feliciano, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Blaisdell Ave, Minneapolis, MN 55404 Phone: 952-993-8000
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770

Kevin A Peterson, MD - Medicare Family Medicine in Minneapolis, MN