Scott Kermit Peterson, RN is a
Registered Nurse based in Pequot Lakes, Minnesota. Scott Kermit Peterson is licensed to practice in Minnesota (license number 2377139) and his current practice location is
30681 Olson St Apt 2, Pequot Lakes, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 838-5363.
NPI number for Scott Kermit Peterson is 1801436787 and his current mailing address is 30681 Olson St Apt 2, Pequot Lakes, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801436787.
Provider's Profile
Full Name | Scott Kermit Peterson |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 30681 Olson St Apt 2, Pequot Lakes, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801436787
- Provider Enumeration Date: 01/08/2020
- Last Update Date: 01/08/2020
Medical Identifiers
Medical identifiers for Scott Kermit Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801436787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2377139 (Minnesota) | 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. Scott Kermit Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Scott Kermit Peterson, RN 30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081 Ph: (218) 838-5363 | Scott Kermit Peterson, RN 30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081 Ph: (218) 838-5363 |
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