Austin Michael Peterson, OD is a medicare enrolled "Optometrist" provider in Mora, Minnesota. His current practice location is
301 Mn-65, Mora, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 679-2020.
Austin Michael Peterson is licensed to practice in Minnesota (license number 3870) 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 1518642719.
Healthcare Provider's Profile
Full Name | Austin Michael Peterson |
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Gender | Male |
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Speciality | Optometrist |
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Location | 301 Mn-65, Mora, Minnesota |
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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: 1518642719
- Provider Enumeration Date: 06/16/2023
- Last Update Date: 06/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567823495
- Enrollment ID: I20230725002607
Medical Identifiers
Medical identifiers for Austin Michael Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518642719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3870 (Minnesota) | 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. Austin Michael Peterson allows following entities to bill medicare on his behalf.
Provider Name | Welia Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
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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. Austin Michael 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 |
Austin Michael Peterson, OD 1893 Plum St, Mora, MN 55051-7220 Ph: (320) 282-0502 | Austin Michael Peterson, OD 301 Mn-65, Mora, MN 55051 Ph: (320) 679-2020 |
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