Dr Mark W Peterson, MD - Medicare Diagnostic Radiology in Lewiston, ID

Dr Mark W Peterson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Lewiston, Idaho. He went to Columbia University College Of Physicians And Surgeons and graduated in 1983 and has 41 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tri-state Memorial Hospital and his current practice location is 415 6th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 799-5335.

Dr Mark W Peterson is licensed to practice in Idaho (license number M5240) 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 1356312524.

Contact Information

Dr Mark W Peterson, MD
415 6th St,
Lewiston, ID 83501-2431
(208) 799-5335
Not Available



Physician's Profile

Full NameDr Mark W Peterson
GenderMale
SpecialityDiagnostic Radiology
Experience41 Years
Location415 6th St, Lewiston, 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 Mark W Peterson attended and graduated from Columbia University College Of Physicians And Surgeons in 1983
  NPI Data:
  • NPI Number: 1356312524
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830092857
  • Enrollment ID: I20040812001408

Medical Identifiers

Medical identifiers for Dr Mark W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356312524NPI-NPPES
P00165374OtherRAILROAD MEDICARE
0192980OtherWALABOR & INDUSTRIES
000010005909OtherIDREGENCE BS OF IDAHO
71498OtherIDBLUE CROSS OF IDAHO
8156473MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M5240 (Idaho)Primary
2085R0204XRadiology - Vascular & Interventional Radiology M5240 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tri-state Memorial HospitalClarkston, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-state Memorial Hospital408250242232

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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 Mark W Peterson allows following entities to bill medicare on his behalf.
Entity NameTri-state Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040308001123

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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 Mark W 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 W Peterson, MD
531 4th Ave,
Lewiston, ID 83501-2450

Ph: (208) 743-4393
Dr Mark W Peterson, MD
415 6th St,
Lewiston, ID 83501-2431

Ph: (208) 799-5335

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Radiology Doctors in Lewiston, ID

Dr. John W. Ho, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7445    
Dr. Khadijeh S. Zarkoob, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 504 6th St, Lewiston, ID 83501
Phone: 208-799-5600    
Dr. Michael Todd Burtis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 531 4th Ave, Lewiston, ID 83501
Phone: 208-743-4393    
Norman Robert Willis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 504 6th St, Lewiston, ID 83501
Phone: 208-799-5600    Fax: 208-799-5755
Dr. Gregory Robert Spurling, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 531 4th Ave, Lewiston, ID 83501
Phone: 208-743-4393    
Dr. Michael E Bell, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-799-5335    

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