Dr Mark Gordon Peterson, MD - Medicare Family Medicine in Winslow, AZ

Dr Mark Gordon Peterson, MD is a medicare enrolled "Family Medicine" physician in Winslow, Arizona. His current practice location is 500 Indiana Ave, Winslow, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 289-4646.

Dr Mark Gordon Peterson is licensed to practice in Alaska (license number 2304) 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 1629129168.

Contact Information

Dr Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169
(928) 289-4646
(928) 289-6229



Physician's Profile

Full NameDr Mark Gordon Peterson
GenderMale
SpecialityFamily Medicine
Location500 Indiana Ave, Winslow, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629129168
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 05/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466469341
  • Enrollment ID: I20060317000296

Medical Identifiers

Medical identifiers for Dr Mark Gordon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629129168NPI-NPPES
MD28841MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2304 (Alaska)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 Mark Gordon Peterson allows following entities to bill medicare on his behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631

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Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961

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Pediatric practices struggle to adapt and survive amid COVID-19

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Read more Medical News

› Verified 3 days ago

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 Mark Gordon 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 Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169

Ph: (928) 289-4646
Dr Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169

Ph: (928) 289-4646

News Archive

Accumulation of gut bacterial metabolite may lead to serious health problems in CKD patients

In patients with chronic kidney disease (CKD), the accumulation of a gut bacterial metabolite that's normally excreted in urine may contribute to serious health problems. The findings come from a study appearing in an upcoming issue of the Journal of the American Society of Nephrology.

Novavax reports positive preclinical results for H1N1 influenza VLP vaccine

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The silence was striking. On a normal day, the well-child waiting room at Berkeley Pediatrics bustles with children playing, infants crying and teenagers furiously tapping on their smartphones.

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› Verified 3 days ago


Family Medicine Doctors in Winslow, AZ

James Edward Page, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Lee St, Winslow, AZ 86047
Phone: 928-289-3396    Fax: 928-289-2801
Francis B Armao, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    Fax: 928-289-6290
Dr. Regina Elizabeth Ross, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    
Salvador T Lee Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 E Third St, Winslow, AZ 86047
Phone: 928-289-3345    Fax: 928-289-3760
Ms. Charlene Yvonne Clements, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    
Thomas E Greenwood, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 East Lee Street, Winslow, AZ 86047
Phone: 928-289-3396    Fax: 928-289-2801
Sage White, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 289-289-4646    Fax: 928-289-8140

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