Dr Nickalos Lee Peterson, DC in Ridgefield, CT - Medicare Provider

Dr Nickalos Lee Peterson, DC is a medicare enrolled "Chiropractor" provider in Ridgefield, Connecticut. His current practice location is 31 Bailey Ave, Ridgefield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 438-9609.

Dr Nickalos Lee Peterson is licensed to practice in Connecticut (license number 180) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598864282.

Contact Information

	Dr Nickalos Lee Peterson, DC
	31 Bailey Ave, Ridgefield, CT 06877-4533
	(203) 438-9609
	(203) 438-7141

Healthcare Provider's Profile

Full Name	Dr Nickalos Lee Peterson
Gender	Male
Speciality
Experience	Years
Location	31 Bailey Ave, Ridgefield, Connecticut
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nickalos Lee Peterson attended and graduated from in

NPI Data:

NPI Number: 1598864282
Provider Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Nickalos Lee Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598864282	NPI	-	NPPES
P405105	Other	CT	OXFORD PROVIDER ID NUMBER
4380815	Other	CT	AETNA PPO ID NUMBER
050000180CT01	Other	CT	ANTHEM BC/BS ID PROVIDER
LANDMARK /HEALTH NET	Other	CT	CT00180 PROVIDER ID#
9323280003	Other	CT	CIGNA PROVIDER ID NUMBER
0114667	Other	CT	AETNA HMO ID NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	180 (Connecticut)	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. Dr Nickalos Lee 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
Dr Nickalos Lee Peterson, DC 31 Bailey Ave, Ridgefield, CT 06877-4533 Ph: (203) 438-9609	Dr Nickalos Lee Peterson, DC 31 Bailey Ave, Ridgefield, CT 06877-4533 Ph: (203) 438-9609

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Dr Nickalos Lee Peterson, DC - Medicare Chiropractor in Ridgefield, CT