Brenden Peterson, in Ludington, MI - Medicare Speech-Language Pathologist Provider

Brenden Peterson, is a medicare enrolled "Speech-language Pathologist" provider in Ludington, Michigan. His current practice location is 1000 E Tinkham Ave, Ludington, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 845-6291.

Brenden Peterson is licensed to practice in Michigan (license number 7101004661) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114319860.

Contact Information

	Brenden Peterson,
	1000 E Tinkham Ave, Ludington, MI 49431-1568
	(231) 845-6291
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brenden Peterson
Gender	Male
Speciality	Speech-language Pathologist
Location	1000 E Tinkham Ave, Ludington, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114319860
Provider Enumeration Date: 03/03/2015
Last Update Date: 03/03/2015

Medicare PECOS Information:

PECOS PAC ID: 5698115814
Enrollment ID: I20240503002567

Medical Identifiers

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

Identifier	Type	State	Issuer
1114319860	NPI	-	NPPES
1095263920	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101004661 (Michigan)	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. Brenden Peterson allows following entities to bill medicare on his behalf.

Provider Name	Mercy Health Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839

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. Brenden 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
Brenden Peterson, 917 W Cross St Apt 3, Ypsilanti, MI 48197-2758 Ph: (269) 251-0314	Brenden Peterson, 1000 E Tinkham Ave, Ludington, MI 49431-1568 Ph: (231) 845-6291

Reviews and Comments

Speech-Language Pathologist in Ludington, MI

Mary Claire Fu, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095
Mrs. Hailey Kristine-mayo Buchner, MS, CFY-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 300 S Rath Ave Ste 102, Ludington, MI 49431 Phone: 231-571-0727
Kaylin Happley, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291
Christen Mariah Thompson, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291
Makayla Hutchison, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5656 W Us Highway 10, Ludington, MI 49431 Phone: 231-843-2543
Carrie C Failor, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Tinkham Ave, Ludington, MI 49431 Phone: 231-690-5261

Brenden Peterson, - Medicare Speech-Language Pathologist in Ludington, MI