Dr Darrell J Peterson, DDS - Medicare Dentist in Anchorage, AK

Dr Darrell J Peterson, DDS is a medicare enrolled "Dentist - General Practice" provider in Anchorage, Alaska. His current practice location is 12350 Industry Way Ste 210, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 345-7722.

Dr Darrell J Peterson is licensed to practice in Alaska (license number AA608) 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 1043391550.

Contact Information

Dr Darrell J Peterson, DDS
12350 Industry Way Ste 210,
Anchorage, AK 99515-4301
(907) 345-7722
(907) 345-6734



Healthcare Provider's Profile

Full NameDr Darrell J Peterson
GenderMale
SpecialityDentist - General Practice
Location12350 Industry Way Ste 210, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043391550
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688979727
  • Enrollment ID: I20160226001187

Medical Identifiers

Medical identifiers for Dr Darrell J Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043391550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice AA608 (Alaska)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 Darrell J 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 AddressPractice Location Address
Dr Darrell J Peterson, DDS
12350 Industry Way Ste 210,
Anchorage, AK 99515-4301

Ph: (907) 345-7722
Dr Darrell J Peterson, DDS
12350 Industry Way Ste 210,
Anchorage, AK 99515-4301

Ph: (907) 345-7722

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Dentist in Anchorage, AK

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