Mr Richard M Peterson, PA-C is a medicare enrolled "Physician Assistant" in Newport, New Hampshire. His current practice location is
11 John Stark Hwy, Newport, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 863-4100.
Mr Richard M Peterson is licensed to practice in New Hampshire (license number 0455) 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 1649207838.
Provider's Profile
Full Name | Mr Richard M Peterson |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 11 John Stark Hwy, Newport, New Hampshire |
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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: 1649207838
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 04/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638123581
- Enrollment ID: I20050303000779
Medical Identifiers
Medical identifiers for Mr Richard M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649207838 | NPI | - | NPPES |
30332330 | Medicaid | NH | |
0AP1868 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0455 (New Hampshire) | Primary |
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 Richard M 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 Richard M Peterson, PA-C 11 John Stark Hwy, Newport, NH 03773-1807 Ph: (603) 863-4100 | Mr Richard M Peterson, PA-C 11 John Stark Hwy, Newport, NH 03773-1807 Ph: (603) 863-4100 |
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