Mr Magnum Peterson, EDS is a
Psychologist - School based in Red Oak, Iowa. Mr Magnum Peterson is licensed to practice in North Carolina (license number 1196254) and his current practice location is
607 E Oak St, Red Oak, Iowa. He can be reached at his office (for appointments etc.) via phone at
(336) 739-0069.
NPI number for Mr Magnum Peterson is 1922722354 and his current mailing address is 607 E Oak St, Red Oak, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922722354.
Healthcare Provider's Profile
Full Name | Mr Magnum Peterson |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 607 E Oak St, Red Oak, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922722354
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Mr Magnum Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922722354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 1196254 (North Carolina) | 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. Mr Magnum 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 |
Mr Magnum Peterson, EDS 607 E Oak St, Red Oak, IA 51566-1642 Ph: () - | Mr Magnum Peterson, EDS 607 E Oak St, Red Oak, IA 51566-1642 Ph: (336) 739-0069 |
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