Mr Michael Andrew Peterson, in Ashland, WI - Medicare Nurse Anesthetist, Certified Registered

Mr Michael Andrew Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ashland, Wisconsin. His current practice location is 1615 Maple Lane, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 682-4563.

Mr Michael Andrew Peterson is licensed to practice in Wisconsin (license number 80086030) 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 1023087046.

Contact Information

	Mr Michael Andrew Peterson,
	1615 Maple Lane, Ashland, WI 54806
	(715) 682-4563
	(715) 685-5108

Map and Direction

Provider's Profile

Full Name	Mr Michael Andrew Peterson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1615 Maple Lane, Ashland, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023087046
Provider Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981628443
Enrollment ID: I20130712000655

Medical Identifiers

Medical identifiers for Mr Michael Andrew Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023087046	NPI	-	NPPES
44320400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	80086030 (Wisconsin)	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. Mr Michael Andrew Peterson allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20040708000447

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 Michael Andrew 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 Michael Andrew Peterson, Po Box 1547, Sedalia, MO 65307 Ph: (660) 826-5960	Mr Michael Andrew Peterson, 1615 Maple Lane, Ashland, WI 54806 Ph: (715) 682-4563

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ashland, WI

Thomas William Jorgensen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500
Gregory Allen Zinke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500
Ms. Suzanne M Ulmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-682-4563
Mr. Stephen Charles Cushing, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 815-685-5108
Mr. Shawn Douglas Brede, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108

Mr Michael Andrew Peterson, - Medicare Nurse Anesthetist, Certified Registered in Ashland, WI