Timothy A Peterson, MD - Medicare Family Practice in Grand Forks, ND

  1. Home
  2. Preventive Medicine
  3. ND
  4. Grand Forks
Timothy A Peterson, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Grand Forks, North Dakota. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Yukon-kuskokwim Health Corporation, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc and his current practice location is 4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 205-3000.

Timothy A Peterson is licensed to practice in North Dakota (license number 7777) 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 1134211568.

Contact Information

Timothy A Peterson, MD
4700 S Washington St Ste G,
Grand Forks, ND 58201-8123
(701) 205-3000
(701) 732-2501

Map and Direction




Physician's Profile

Full NameTimothy A Peterson
GenderMale
SpecialityFamily Practice
Experience33 Years
Location4700 S Washington St Ste G, Grand Forks, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy A Peterson graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1134211568
  • Provider Enumeration Date: 09/30/2006
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739197567
  • Enrollment ID: I20130731000600

Medical Identifiers

Medical identifiers for Timothy A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134211568NPI-NPPES
1456145MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7777 (North Dakota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 7777 (North Dakota)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 7777 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Altru HospitalGrand forks, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peterson Medical Clinics Llc933541222051
Peterson Medical Clinics Llc933541222051
Yukon-kuskokwim Health Corporation519371876577
Peterson Medical Clinics Llc933541222051
Peterson Medical Clinics Llc933541222051
Peterson Medical Clinics Llc933541222051
Peterson Medical Clinics Llc933541222051

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. Timothy A Peterson allows following entities to bill medicare on his behalf.
Entity NameAstera Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134305162
PECOS PAC ID: 2961395272
Enrollment ID: O20040202001082
Entity NameAstera Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477545333
PECOS PAC ID: 2961395272
Enrollment ID: O20060504000722
Entity NamePeterson Medical Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699295774
PECOS PAC ID: 9335412220
Enrollment ID: O20180420000250

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. Timothy 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 AddressPractice Location Address
Timothy A Peterson, MD
Po Box 5210,
Grand Forks, ND 58206-5210

Ph: (701) 205-3000		Timothy A Peterson, MD
4700 S Washington St Ste G,
Grand Forks, ND 58201-8123

Ph: (701) 205-3000

Reviews and Comments


Preventive Medicine Doctors in Grand Forks, ND

Dr. Mark J Krisburg, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 860 S Columbia Rd., Grand Forks, ND 58201
Phone: 701-780-6697    
Dalton Toay, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-1947    
Warren C Jensen, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Mccannel Hall, Room 100, 2891 2nd Avenue N., Stop 9038, Grand Forks, ND 58202
Phone: 701-777-4500    Fax: 701-777-4835

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.