Dr Dane M Peterson, OD is a medicare enrolled "Optometrist" provider in St. Anthony, Minnesota. His current practice location is
2601 39th Ave Ne Ste 1, St. Anthony, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 416-7600.
Dr Dane M Peterson is licensed to practice in Minnesota (license number 3325) 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 1285863530.
Healthcare Provider's Profile
| Full Name | Dr Dane M Peterson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2601 39th Ave Ne Ste 1, St. Anthony, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dane M Peterson attended and graduated from in
NPI Data:
- NPI Number: 1285863530
- Provider Enumeration Date: 07/08/2009
- Last Update Date: 03/17/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Dane M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285863530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2738 (Colorado) | Secondary |
| 152W00000X | Optometrist | 3325 (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. Dr Dane 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 |
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Dr Dane M Peterson, OD
8401 Golden Valley Rd Ste 330,
Golden Valley, MN 55427-4488
Ph: (763) 416-7629 | Dr Dane M Peterson, OD
2601 39th Ave Ne Ste 1,
St. Anthony, MN 55421-4372
Ph: (763) 416-7600 |
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