Blake Peterson, MD - Medicare Orthopedic Surgery in Arlington, VA

Blake Peterson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Arlington, Virginia. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopedic And Sports Medicine Center Llc, Performance Plus Rehabilitation Center Llc, Select Physical Therapy Holdings Inc and his current practice location is 2445 Army Navy Dr, Arlington, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 892-6500.

Blake Peterson is licensed to practice in Missouri (license number 2012015918) 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 1023379849.

Contact Information

Blake Peterson, MD
2445 Army Navy Dr,
Arlington, VA 22206-2905
(703) 892-6500
Not Available



Physician's Profile

Full NameBlake Peterson
GenderMale
SpecialityOrthopedic Surgery
Experience12 Years
Location2445 Army Navy Dr, Arlington, Virginia
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:
  • Blake Peterson attended and graduated from University Of Missouri, Columbia School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1023379849
  • Provider Enumeration Date: 06/07/2012
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143464495
  • Enrollment ID: I20180607002534

Medical Identifiers

Medical identifiers for Blake Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023379849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2012015918 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Freudenthal Home HealthSaint joseph, MOHome health agency
Mosaic Life Care Home HealthSaint joseph, MOHome health agency
Serve Link Home Care, IncTrenton, MOHome health agency
Mosaic Life Care At St JosephSaint joseph, MOHospital
Ssm Health St. Francis Hospital- MaryvilleMaryville, MOHospital
Wright Memorial HospitalTrenton, MOHospital
Cameron Regional Medical CenterCameron, MOHospital
Hiawatha Community HospitalHiawatha, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic And Sports Medicine Center Llc529470044913
Performance Plus Rehabilitation Center Llc529479169584
Select Physical Therapy Holdings Inc95370764011487

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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. Blake Peterson allows following entities to bill medicare on his behalf.
Entity NameOrthopedic & Sports Medicine Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093780645
PECOS PAC ID: 5294700449
Enrollment ID: O20040903000403

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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. Blake 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
Blake Peterson, MD
1100 Virginia Ave,
Columbia, MO 65212-0001

Ph: () -
Blake Peterson, MD
2445 Army Navy Dr,
Arlington, VA 22206-2905

Ph: (703) 892-6500

News Archive

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Orthopaedic Surgery Doctors in Arlington, VA

Dr. Derek H. Ochiai, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1715 N George Mason Dr, Suite 504, Arlington, VA 22205
Phone: 703-525-2200    Fax: 703-522-2603
Mr. Zachary Andrew Mosher,
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2800 S Shirlington Rd Fl 11, Arlington, VA 22206
Phone: 703-892-6500    
Dr. Andrew S Holmes, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1635 N George Mason Dr Ste 180, Arlington, VA 22205
Phone: 301-530-1010    Fax: 301-897-8597
Dr. Daniel Gerscovich, M.D
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2445 Army Navy Dr, Anderson Clinic Inc, Arlington, VA 22206
Phone: 703-892-6500    Fax: 703-769-8486
Dr. Robert P. Nirschl, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1715 N George Mason Dr, Suite 504, Arlington, VA 22205
Phone: 703-525-2200    Fax: 703-522-2603
Dr. Steven Marc Danaceau, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2501 N Glebe Rd, Suite 201, Arlington, VA 22207
Phone: 703-469-3971    Fax: 703-524-8281

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