Dr Dane M Peterson, OD is a medicare enrolled "Optometrist" provider in St. Anthony, Minnesota. He went to University Of Missouri St Louis - School Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Northwest Eye Clinic Llc and 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 | Optometry |
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| Experience | 15 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 University Of Missouri St Louis - School Of Optometry in 2009
NPI Data:
- NPI Number: 1285863530
- Provider Enumeration Date: 07/08/2009
- Last Update Date: 03/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769528736
- Enrollment ID: I20130604000320
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northwest Eye Clinic Llc | 2163315045 | 17 |
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. Dr Dane M Peterson allows following entities to bill medicare on his behalf.
| Provider Name | Northwest Eye Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255417002
PECOS PAC ID: 2163315045
Enrollment ID: O20040204000843 |
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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. 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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