Dr Scott Mathew Peterson, DDS, MS - Medicare Dentist in Bloomington, IL

Dr Scott Mathew Peterson, DDS, MS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Bloomington, Illinois. His current practice location is 111 N Regency Dr, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 662-5331.

Dr Scott Mathew Peterson is licensed to practice in Illinois (license number 021-002109) 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 1134396336.

Contact Information

Dr Scott Mathew Peterson, DDS, MS
111 N Regency Dr,
Bloomington, IL 61701-3515
(309) 662-5331
(309) 663-1112



Healthcare Provider's Profile

Full NameDr Scott Mathew Peterson
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location111 N Regency Dr, Bloomington, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134396336
  • Provider Enumeration Date: 05/15/2008
  • Last Update Date: 05/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9638473747
  • Enrollment ID: I20160210002354

Medical Identifiers

Medical identifiers for Dr Scott Mathew Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134396336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 021-002109 (Illinois)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 Scott Mathew 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 Scott Mathew Peterson, DDS, MS
111 N Regency Dr,
Bloomington, IL 61701-3515

Ph: (309) 662-5331
Dr Scott Mathew Peterson, DDS, MS
111 N Regency Dr,
Bloomington, IL 61701-3515

Ph: (309) 662-5331

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› Verified 9 days ago


Dentist in Bloomington, IL

Dr. Michael Allen Pauley, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2103 E Washington St, Suite 3, Bloomington, IL 61701
Phone: 309-662-6660    Fax: 309-664-6044
Dr. Aleksandra Komogortseva, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1407 N Veterans Pkwy Ste 12, Bloomington, IL 61704
Phone: 309-233-3922    
Dr. Kirk William Noraian, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 105 N Williamsburg Dr, Bloomington, IL 61704
Phone: 309-663-4577    Fax: 306-663-2854
Brock Gardner,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 107 S Prospect Rd, Bloomington, IL 61704
Phone: 309-808-6263    
Dr. Jack Capodice Jr., MD, DMD
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Regency Dr, Bloomington, IL 61701
Phone: 309-663-2526    Fax: 309-663-4788
Johnny J Hernandez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Heartland Dr, Suite A, Bloomington, IL 61704
Phone: 309-662-0523    Fax: 309-662-7693
Dr. Uzma S. Hatia, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 507 N Hershey Rd Ste D, Bloomington, IL 61704
Phone: 309-661-0197    Fax: 309-663-0967

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