Theodore A Peterson, MD in Saint Cloud, MN

Theodore A Peterson, MD is a medicare enrolled "Anesthesiology" physician in Saint Cloud, Minnesota. He went to University Of Minnesota Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Centracare Clinic, Centracare Clinic Southwest Llc and his current practice location is 1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 251-2700.

Theodore A Peterson is licensed to practice in Minnesota (license number 38293) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457342628.

Contact Information

	Theodore A Peterson, MD
	1406 6th Ave N, Saint Cloud, MN 56303-1900
	(320) 251-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore A Peterson
Gender	Male
Speciality	Anesthesiology
Experience	30 Years
Location	1406 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore A Peterson attended and graduated from University Of Minnesota Medical School in 1994

NPI Data:

NPI Number: 1457342628
Provider Enumeration Date: 11/04/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860382512
Enrollment ID: I20100824001296

Medical Identifiers

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

Identifier	Type	State	Issuer
1457342628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	38293 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Cloud Hospital	Saint cloud, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic	2466363395	632
Centracare Clinic Southwest Llc	8426457946	141

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. Theodore A Peterson allows following entities to bill medicare on his behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Centracare Clinic Southwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802

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. Theodore 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
Theodore A Peterson, MD Po Box 725, Saint Cloud, MN 56302-0725 Ph: (320) 258-3090	Theodore A Peterson, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700

Reviews and Comments

Anesthesiology Doctors in Saint Cloud, MN

Richard E Belmont Jr., D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095
Bryce C Holmgren, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1526 Northway Dr, Saint Cloud, MN 56303 Phone: 320-251-8385
Andrew Lawrence Wilkey, MD, FASA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 952-715-1407
Borislav M Banjac, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1526 Northway Dr, Saint Cloud, MN 56303 Phone: 320-251-8385
Yogesh Arvind Patel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-251-2700
Wayne R Jandik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Bryce Mieczkowski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095

Theodore A Peterson, MD - Medicare Anesthesiology in Saint Cloud, MN