Dr Mark William Peterson, DO - Medicare Family Practice in Park City, UT

Dr Mark William Peterson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Park City, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Avera Mckennan and his current practice location is 2200 Park Ave. Bldg. D Ste. 100, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 615-8822.

Dr Mark William Peterson is licensed to practice in Utah (license number 8743560-1204) 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 1326374562.

Contact Information

Dr Mark William Peterson, DO
2200 Park Ave. Bldg. D Ste. 100,
Park City, UT 84060
(435) 615-8822
(435) 615-8823



Physician's Profile

Full NameDr Mark William Peterson
GenderMale
SpecialityFamily Practice
Experience15 Years
Location2200 Park Ave. Bldg. D Ste. 100, Park City, Utah
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 William Peterson attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2009
  NPI Data:
  • NPI Number: 1326374562
  • Provider Enumeration Date: 10/22/2009
  • Last Update Date: 02/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325291024
  • Enrollment ID: I20231113003429

Medical Identifiers

Medical identifiers for Dr Mark William Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326374562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101018542 (Michigan)Secondary
207Q00000XFamily Medicine E7679 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program 5101018542 (Michigan)Secondary
207QS0010XFamily Medicine - Sports Medicine 8743560-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera Mckennan0345157103848

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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 William Peterson allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117

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Noting the recent release of the "PEPFAR Blueprint: Creating an AIDS-free Generation", Kim Lufkin, communications officer at the Global Health Technologies Coalition (GHTC), writes in the organization's "Breakthroughs" blog, "It's commendable that the U.S. government is continuing its legacy as a leader in the fight against HIV/AIDS, as this blueprint indicates.

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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 William 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 William Peterson, DO
101 Sun Meadow Dr,
Centerton, AR 72719-9610

Ph: (479) 795-0426
Dr Mark William Peterson, DO
2200 Park Ave. Bldg. D Ste. 100,
Park City, UT 84060

Ph: (435) 615-8822

News Archive

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Abbott today announced that it has received CE Mark for its new FreeStyle InsuLinx Blood Glucose Monitoring System, the first blood glucose monitoring device from Abbott that includes a mealtime insulin calculator for calculating suggested insulin doses.

Primary ACL reconstruction improves quality of life and sports functionality for athletes

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CVS Caremark Corporation, today announced revenues, operating profit, and net income for the three and six months ended June 30, 2010.

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Highly effective current treatments for vision loss need to be allied with careful counselling to ensure patients maintain good psychological health as well as good vision, new research recommends.

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Noting the recent release of the "PEPFAR Blueprint: Creating an AIDS-free Generation", Kim Lufkin, communications officer at the Global Health Technologies Coalition (GHTC), writes in the organization's "Breakthroughs" blog, "It's commendable that the U.S. government is continuing its legacy as a leader in the fight against HIV/AIDS, as this blueprint indicates.

Read more News

› Verified 4 days ago


Family Medicine Doctors in Park City, UT

Dr. Joseph Ferriter,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Bonanza Dr, Park City, UT 84060
Phone: 435-649-7640    Fax: 435-649-1365
John Joseph Hanrahan, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 510 Maple Dr, Park City, UT 84098
Phone: 435-714-0715    
Dr. Kenneth Alan Wolkoff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3065 Fawn Dr, Park City, UT 84098
Phone: 435-655-8212    
Brian J Rush, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098
Phone: 435-940-9400    
Bradley Cris Cowley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Round Valley Dr, Park City, UT 84060
Phone: 435-658-7000    
Dr. Spenser Reed, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1790 Sun Peak Dr Ste A101, Park City, UT 84098
Phone: 435-645-0800    
Stefani Jane Day, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Bonanza Dr, Park City, UT 84060
Phone: 435-649-7640    Fax: 435-645-7768

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