Dr Shawn Ray Petersen, DDS - Medicare Dentist in Atlantic, IA

Dr Shawn Ray Petersen, DDS is a medicare enrolled "Dentist" provider in Atlantic, Iowa. His current practice location is 1501 E 10th St, Atlantic, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 243-1833.

Dr Shawn Ray Petersen is licensed to practice in Iowa (license number 08027) 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 1437363058.

Contact Information

Dr Shawn Ray Petersen, DDS
1501 E 10th St,
Atlantic, IA 50022-1936
(712) 243-1833
(712) 243-7552



Healthcare Provider's Profile

Full NameDr Shawn Ray Petersen
GenderMale
SpecialityDentist
Location1501 E 10th St, Atlantic, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437363058
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729360169
  • Enrollment ID: I20170120000463

Medical Identifiers

Medical identifiers for Dr Shawn Ray Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437363058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 08027 (Iowa)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 Shawn Ray 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 Shawn Ray Petersen, DDS
1501 E 10th St,
Atlantic, IA 50022-1936

Ph: (712) 243-1833
Dr Shawn Ray Petersen, DDS
1501 E 10th St,
Atlantic, IA 50022-1936

Ph: (712) 243-1833

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Dentist in Atlantic, IA

Douglas John Spicer, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 411 Poplar Street, Atlantic, IA 50022
Phone: 712-243-6545    Fax: 712-243-9739
Dr. Timothy John Kreifels, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 402 Poplar St, Atlantic, IA 50022
Phone: 712-243-3275    Fax: 712-243-8024
Chet Meneely, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 402 Poplar St, Atlantic, IA 50022
Phone: 712-243-3275    
Dr. Tyler Steven Wallingford, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 402 Poplar St, Atlantic, IA 50022
Phone: 712-243-3275    Fax: 712-243-8024
Dr. Gregory Scott Daniels, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1501 E 10th St Ste 213, Atlantic, IA 50022
Phone: 712-243-1833    
Dr. Mitchel Gavino, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1501 E 10th St Ste 213, Atlantic, IA 50022
Phone: 612-968-3576    

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