Mr Mark A Peterson, PA-C in Kenosha, WI - Medicare Physician Assistant

Mr Mark A Peterson, PA-C is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. He graduated from nursing school in 1989 and has 35 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aamg Reach Pllc, Aurora Medical Group, Inc. and his current practice location is 7540 22nd Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 656-7800.

Mr Mark A Peterson is licensed to practice in Wisconsin (license number 575-023) 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 1740397140.

Contact Information

	Mr Mark A Peterson, PA-C
	7540 22nd Ave, Kenosha, WI 53143
	(262) 656-7800
	(262) 656-7810

Map and Direction

Provider's Profile

Full Name	Mr Mark A Peterson
Gender	Male
Speciality	Physician Assistant
Experience	35 Years
Location	7540 22nd Ave, Kenosha, Wisconsin
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:

Mr Mark A Peterson graduated from nursing school in 1989

NPI Data:

NPI Number: 1740397140
Provider Enumeration Date: 08/23/2006
Last Update Date: 04/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1355478017
Enrollment ID: I20100428000939

Medical Identifiers

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

Identifier	Type	State	Issuer
1740397140	NPI	-	NPPES
42924400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	575-023 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aamg Reach Pllc	5597133264	61
Aurora Medical Group, Inc.	6709794258	3269

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 Mark 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
Mr Mark A Peterson, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Mr Mark A Peterson, PA-C 7540 22nd Ave, Kenosha, WI 53143 Ph: (262) 656-7800

Reviews and Comments

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Mr Mark A Peterson, PA-C - Medicare Physician Assistant in Kenosha, WI