Karissa Peterson, in Minneapolis, MN - Medicare Physical Therapist Provider

Karissa Peterson, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Minneapolis, Minnesota. Her current practice location is 2700 E 28th St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 345-7769.

Karissa Peterson is licensed to practice in Minnesota (license number 13293) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104696384.

Contact Information

	Karissa Peterson,
	2700 E 28th St, Minneapolis, MN 55406-2990
	(612) 345-7769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Karissa Peterson
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	2700 E 28th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104696384
Provider Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5799126843
Enrollment ID: I20240507004256

Medical Identifiers

Medical identifiers for Karissa Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104696384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	13293 (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. Karissa Peterson allows following entities to bill medicare on her behalf.

Provider Name	Results-ast Jv Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061

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. Karissa 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
Karissa Peterson, 35617 County 39, Laporte, MN 56461-4051 Ph: (612) 743-2284	Karissa Peterson, 2700 E 28th St, Minneapolis, MN 55406-2990 Ph: (612) 345-7769

Reviews and Comments

Physical Therapist in Minneapolis, MN

Mrs. Allison Lydia Dahl, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Veterans Drive, Minneapolis, MN 55417 Phone: 612-725-2000 Fax: 612-725-2049
Shane Pochant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3915 Golden Valley Rd, Minneapolis, MN 55422 Phone: 612-775-2455
John Hunn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 218-393-6255
Laken Frericks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 Phone: 612-331-5757 Fax: 763-260-7653
Kayleen Lahoud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7550 34th Ave S, Minneapolis, MN 55450 Phone: 612-727-1167
Julia Elizabeth Mcnaughton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000
Melissa Tooman Herron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-818-7081

Karissa Peterson, - Medicare Physical Therapist in Minneapolis, MN