Dr Chad Allan Peterson, MD - Medicare Urology in Coeur D Alene, ID

Dr Chad Allan Peterson, MD is a medicare enrolled "Urology" physician in Coeur D Alene, Idaho. He went to Oregon Health Sciences University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Idaho Urology Pllc and his current practice location is 980 W Ironwood Dr, Ste. 104, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 667-0621.

Dr Chad Allan Peterson is licensed to practice in Idaho (license number M-10619) 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 1629284732.

Contact Information

Dr Chad Allan Peterson, MD
980 W Ironwood Dr, Ste. 104,
Coeur D Alene, ID 83814-2668
(208) 667-0621
(208) 664-1709



Physician's Profile

Full NameDr Chad Allan Peterson
GenderMale
SpecialityUrology
Experience21 Years
Location980 W Ironwood Dr, Coeur D Alene, Idaho
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:
  • Dr Chad Allan Peterson attended and graduated from Oregon Health Sciences University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1629284732
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 05/31/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4284785502
  • Enrollment ID: I20090626000449

Medical Identifiers

Medical identifiers for Dr Chad Allan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629284732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology M-10619 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
Bonner General HospitalSandpoint, IDHospital
Northwest Specialty HospitalPost falls, IDHospital
Boundary Community HospitalBonners ferry, IDHospital
Benewah Community HospitalSt maries, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Idaho Urology Pllc14564522919

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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. Dr Chad Allan Peterson allows following entities to bill medicare on his behalf.
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230

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Entity NameNorth Idaho Urology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891834768
PECOS PAC ID: 1456452291
Enrollment ID: O20070724000658

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Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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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. Dr Chad Allan 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 Chad Allan Peterson, MD
980 W Ironwood Dr, Ste. 104,
Coeur D Alene, ID 83814-2668

Ph: (208) 667-0621
Dr Chad Allan Peterson, MD
980 W Ironwood Dr, Ste. 104,
Coeur D Alene, ID 83814-2668

Ph: (208) 667-0621

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Urology Doctors in Coeur D Alene, ID

Roxanne Haslam, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814
Phone: 208-667-0621    Fax: 208-664-1709
Matthew David Mclaughlin, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 980 W Ironwood Dr, Ste 104, Coeur D Alene, ID 83814
Phone: 208-667-0621    Fax: 208-664-1709
Ian William Udell, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814
Phone: 208-667-0621    
David Flores, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814
Phone: 208-667-0621    Fax: 208-664-1709

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