Dr Russell N Petersen, DC - Medicare Chiropractor in Sheboygan, WI

Dr Russell N Petersen, DC is a medicare enrolled "Chiropractor" provider in Sheboygan, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Creekside Chiropractic And Rehabilitation Ltd and his current practice location is 4027 S Business Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 459-9090.

Dr Russell N Petersen is licensed to practice in Wisconsin (license number 4058-012) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164550620.

Contact Information

Dr Russell N Petersen, DC
4027 S Business Dr,
Sheboygan, WI 53081-1261
(920) 459-9090
(920) 459-7426



Healthcare Provider's Profile

Full NameDr Russell N Petersen
GenderMale
SpecialityChiropractic
Experience20 Years
Location4027 S Business Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Russell N Petersen attended and graduated from Palmer College Chiropractic - Davenport in 2004
  NPI Data:
  • NPI Number: 1164550620
  • Provider Enumeration Date: 02/28/2007
  • Last Update Date: 01/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5698796449
  • Enrollment ID: I20051208000626

Medical Identifiers

Medical identifiers for Dr Russell N Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164550620NPI-NPPES
38834800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 4058-012 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Creekside Chiropractic And Rehabilitation Ltd89210297603

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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. Dr Russell N Petersen allows following entities to bill medicare on his behalf.
Provider NameCreekside Chiropractic And Rehabilitation Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801076872
PECOS PAC ID: 8921029760
Enrollment ID: O20051208000586

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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 Russell N Petersen 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 AddressPractice Location Address
Dr Russell N Petersen, DC
4027 S Business Dr,
Sheboygan, WI 53081-1261

Ph: (920) 459-9090
Dr Russell N Petersen, DC
4027 S Business Dr,
Sheboygan, WI 53081-1261

Ph: (920) 459-9090

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Chiropractor in Sheboygan, WI

Rachel E Smith, DC
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 707 S Taylor Dr, Sheboygan, WI 53081
Phone: 920-451-7000    
Dr. Brian Giuliani, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-828-2530    Fax: 920-828-2535
Dr. Timothy S Kroneck, D.C.
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 1720 N 8th St, Sheboygan, WI 53081
Phone: 920-803-2225    Fax: 920-803-3001
Dr. Daniel Paul Grimm, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 909 S Taylor Dr, Sheboygan, WI 53081
Phone: 920-451-7000    Fax: 920-451-7100
Dr. Jodi B Rabas, DC
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 1320 N Taylor Dr, Sheboygan, WI 53081
Phone: 920-459-8475    Fax: 920-694-0437
Colton Family Chiropractic, Llc
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Medicare: Medicare Enrolled
Practice Location: 3411b Lakeshore Rd, Sheboygan, WI 53083
Phone: 920-458-8886    

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