Rebecca D Peterson, APRN, CNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" physician in Detroit Lakes, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is
1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 846-2000.
Rebecca D Peterson is licensed to practice in Minnesota (license number 7249) 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 1225662695.
Physician's Profile
| Full Name | Rebecca D Peterson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
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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:
- Rebecca D Peterson graduated from medical school in 2019
NPI Data:
- NPI Number: 1225662695
- Provider Enumeration Date: 02/25/2020
- Last Update Date: 03/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416386420
- Enrollment ID: I20200326001089
Medical Identifiers
Medical identifiers for Rebecca D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225662695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 7249 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 7249 (Minnesota) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 7249 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center Fargo | 8426967803 | 1085 |
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. Rebecca D Peterson allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679561088
PECOS PAC ID: 2062326820
Enrollment ID: O20031117000090 |
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| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264 |
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| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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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. Rebecca D 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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Rebecca D Peterson, APRN, CNP
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Rebecca D Peterson, APRN, CNP
1245 Washington Ave,
Detroit Lakes, MN 56501-3923
Ph: (218) 846-2000 |
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