John D Peterson, PHARMD is a
Pharmacist based in Siren, Wisconsin. John D Peterson is licensed to practice in Wisconsin (license number 16207-40) and his current practice location is
24106 State Road 35 70, Siren, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 349-2221.
NPI number for John D Peterson is 1861750630 and his current mailing address is Po Box 503, Siren, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861750630.
Healthcare Provider's Profile
| Full Name | John D Peterson |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 24106 State Road 35 70, Siren, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861750630
- Provider Enumeration Date: 04/30/2012
- Last Update Date: 10/11/2019
Medical Identifiers
Medical identifiers for John D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861750630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 16207-40 (Wisconsin) | 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. John D 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 |
|---|
John D Peterson, PHARMD
Po Box 503,
Siren, WI 54872-0503
Ph: (715) 349-2221 | John D Peterson, PHARMD
24106 State Road 35 70,
Siren, WI 54872-8006
Ph: (715) 349-2221 |
Reviews and Comments