Dr Charles Smith Peterson, MD - Medicare Sports Medicine in Mesa, AZ

Dr Charles Smith Peterson, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Mesa, Arizona. He went to Northwestern University Feinberg Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Vhs Outpatient Clinics Inc and his current practice location is 3130 E Baseline Rd, Suite 101, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 558-3744.

Dr Charles Smith Peterson is licensed to practice in Arizona (license number 28027) 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 1952302143.

Contact Information

Dr Charles Smith Peterson, MD
3130 E Baseline Rd, Suite 101,
Mesa, AZ 85204-7290
(480) 558-3744
(480) 558-3801



Physician's Profile

Full NameDr Charles Smith Peterson
GenderMale
SpecialitySports Medicine
Experience26 Years
Location3130 E Baseline Rd, Mesa, Arizona
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 Charles Smith Peterson attended and graduated from Northwestern University Feinberg Medical School in 1998
  NPI Data:
  • NPI Number: 1952302143
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2769473529
  • Enrollment ID: I20040520000546

Medical Identifiers

Medical identifiers for Dr Charles Smith Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952302143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 28027 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arizona Spine And Joint HospitalMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vhs Outpatient Clinics Inc4486566726157

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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 Charles Smith Peterson allows following entities to bill medicare on his behalf.
Entity NameVhs Outpatient Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912979964
PECOS PAC ID: 4486566726
Enrollment ID: O20031104000523

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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 Charles Smith 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 Charles Smith Peterson, MD
8630 E Via De Ventura Ste 201,
Scottsdale, AZ 85258-3358

Ph: (480) 558-3744
Dr Charles Smith Peterson, MD
3130 E Baseline Rd, Suite 101,
Mesa, AZ 85204-7290

Ph: (480) 558-3744

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Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10032 E Southern Ave, Mesa, AZ 85209
Phone: 480-351-2850    
Jennifer Christine Fendler, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 924 N Country Club Dr, Mesa, AZ 85201
Phone: 480-601-3528    
George Ting, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203
Phone: 480-464-8500    
Dr. Thomas P Porter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210
Phone: 480-969-1446    Fax: 480-969-9105
Dana S Farris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209
Phone: 480-834-7546    Fax: 480-833-8313
Nancy Mucha, CNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2843 N 89th St, Mesa, AZ 85207
Phone: 480-396-3482    
Ryan Elisabeth Romo,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1705 W Main St, Mesa, AZ 85201
Phone: 877-809-5092    

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