Bradley J Peterson, MD - Medicare Anesthesiology in St Louis Park, MN

Bradley J Peterson, MD is a medicare enrolled "Anesthesiology" physician in St Louis Park, Minnesota. His current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 920-0845.

Bradley J Peterson is licensed to practice in Minnesota (license number 27955) 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 1912953746.

Contact Information

Bradley J Peterson, MD
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 920-0845
Not Available



Physician's Profile

Full NameBradley J Peterson
GenderMale
SpecialityAnesthesiology
Location6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912953746
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173653557
  • Enrollment ID: I20100610000956

Medical Identifiers

Medical identifiers for Bradley J Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912953746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 27955 (Minnesota)Primary

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. Bradley J Peterson allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579

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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. Bradley 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
Bradley J Peterson, MD
Po Box 47159,
Plymouth, MN 55447-0159

Ph: (763) 559-3779
Bradley J Peterson, MD
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 920-0845

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Anesthesiology Doctors in St Louis Park, MN

Edward V Violante, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
John P Newcome, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
Thomas E Lyons, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
Michael J Lyons, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
David J Yasmineh, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
Dr. John D. Zurn, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-920-0845    
Debra Yvonne Hamilton, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Parklands Rd, St Louis Park, MN 55416
Phone: 952-920-2221    Fax: 952-920-2221

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