Mr Gary M Peterson, MD in Duluth, MN - Medicare Family Medicine

Mr Gary M Peterson, MD is a medicare enrolled "Family Medicine" physician in Duluth, Minnesota. His current practice location is 4702 Grand Ave, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-6800.

Mr Gary M Peterson is licensed to practice in Minnesota (license number 28567) 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 1699724955.

Contact Information

	Mr Gary M Peterson, MD
	4702 Grand Ave, Duluth, MN 55807-2742
	(218) 249-6800
	(218) 249-6808

Map and Direction

Physician's Profile

Full Name	Mr Gary M Peterson
Gender	Male
Speciality	Family Medicine
Location	4702 Grand Ave, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699724955
Provider Enumeration Date: 05/06/2006
Last Update Date: 12/04/2020

Medicare PECOS Information:

PECOS PAC ID: 4880736941
Enrollment ID: I20100127000836

Medical Identifiers

Medical identifiers for Mr Gary M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699724955	NPI	-	NPPES
611373700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28567 (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. Mr Gary M Peterson allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Hospital Of Duluth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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. Mr Gary M 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
Mr Gary M Peterson, MD 4702 Grand Ave, Duluth, MN 55807-2742 Ph: (218) 249-6800	Mr Gary M Peterson, MD 4702 Grand Ave, Duluth, MN 55807-2742 Ph: (218) 249-6800

Reviews and Comments

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Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103

Mr Gary M Peterson, MD - Medicare Family Medicine in Duluth, MN