Dr Jennifer M Peterson, MD - Medicare Pediatrics in Grand Forks, ND

Dr Jennifer M Peterson, MD is a medicare enrolled "Pediatrics" physician in Grand Forks, North Dakota. Her current practice location is 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 795-2000.

Dr Jennifer M Peterson is licensed to practice in North Dakota (license number 12080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144333022.

Contact Information

Dr Jennifer M Peterson, MD
1380 S Columbia Rd - Altru Family Medicine Center,
Grand Forks, ND 58201
(701) 795-2000
(701) 780-1896



Physician's Profile

Full NameDr Jennifer M Peterson
GenderFemale
SpecialityPediatrics
Location1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144333022
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 02/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799966099
  • Enrollment ID: I20110218000982

Medical Identifiers

Medical identifiers for Dr Jennifer M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144333022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 6615A (Wyoming)Secondary
208000000XPediatrics 41901 (Minnesota)Secondary
208000000XPediatrics 12080 (North Dakota)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. Dr Jennifer M Peterson allows following entities to bill medicare on her behalf.
Entity NameAltru Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760494330
PECOS PAC ID: 1355251604
Enrollment ID: O20031110000135

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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 Jennifer M 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 Jennifer M Peterson, MD
2401 Demers Ave,
Grand Forks, ND 58201

Ph: (701) 780-1891
Dr Jennifer M Peterson, MD
1380 S Columbia Rd - Altru Family Medicine Center,
Grand Forks, ND 58201

Ph: (701) 795-2000

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Pediatrics Doctors in Grand Forks, ND

Lori A Sondrol, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd - Altru Family Medical Center, Grand Forks, ND 58201
Phone: 701-795-2000    
Mr. Miltiadis Douvoyiannis, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-795-2000    Fax: 701-780-4477
Bernard Jerome Hoggarth, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Columbia Road, Grand Forks, ND 58206
Phone: 701-780-5000    Fax: 701-780-1942
Susan K Zelewski, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201
Phone: 701-795-2000    
Dr. Nicole Marie Zimmerman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-795-2000    
Mrs. Gloria A Adjekum, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201
Phone: 701-795-2000    Fax: 212-939-4022

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