Michael S Peterson, OD - Medicare Optometrist in Salt Lake City, UT

Michael S Peterson, OD is a medicare enrolled "Optometrist" provider in Salt Lake City, Utah. He went to Southern California College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. His current practice location is 1553 E 3080 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 879-8721.

Michael S Peterson is licensed to practice in Idaho (license number ODP100079) 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 1528020955.

Contact Information

Michael S Peterson, OD
1553 E 3080 S,
Salt Lake City, UT 84106-3419
(801) 879-8721
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMichael S Peterson
GenderMale
SpecialityOptometry
Experience19 Years
Location1553 E 3080 S, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael S Peterson attended and graduated from Southern California College Of Optometry in 2005
  NPI Data:
  • NPI Number: 1528020955
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 07/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345278131
  • Enrollment ID: I20090612000171

Medical Identifiers

Medical identifiers for Michael S Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528020955NPI-NPPES
807202700MedicaidID
000010151065OtherIDREGENCE BLUE SHIELD OF ID
V6861OtherIDBLUE CROSS OF IDAHO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP100079 (Idaho)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. Michael S Peterson allows following entities to bill medicare on his behalf.
Provider NameMichael S Peterson, Od, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942437058
PECOS PAC ID: 3072664572
Enrollment ID: O20090623000571

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. Michael S 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 AddressPractice Location Address
Michael S Peterson, OD
177 W 12300 S, Ste 111,
Draper, UT 84020-9816

Ph: (801) 679-9177
Michael S Peterson, OD
1553 E 3080 S,
Salt Lake City, UT 84106-3419

Ph: (801) 879-8721

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.