Richard Todd Peterson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Chaska, Minnesota. His current practice location is
111 Hundertmark Rd Ste 205n, Chaska, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 903-1350.
Richard Todd Peterson is licensed to practice in Minnesota (license number 53964) 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 1619152097.
Physician's Profile
Full Name | Richard Todd Peterson |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 111 Hundertmark Rd Ste 205n, Chaska, Minnesota |
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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: 1619152097
- Provider Enumeration Date: 01/04/2008
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436214400
- Enrollment ID: I20111031000759
Medical Identifiers
Medical identifiers for Richard Todd Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619152097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 53964 (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. Richard Todd Peterson allows following entities to bill medicare on his behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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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. Richard Todd 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 |
Richard Todd Peterson, MD 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 | Richard Todd Peterson, MD 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 Ph: (952) 903-1350 |
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