Dr Michael R Petersen, MD - Medicare Ophthalmology in Ypsilanti, MI

Dr Michael R Petersen, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Ypsilanti, Michigan. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Cei Physicians Psc, Llc and his current practice location is 2000 N Huron River Dr Ste 100, Ypsilanti, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 572-1200.

Dr Michael R Petersen is licensed to practice in Michigan (license number 4301406847) 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 1629005160.

Contact Information

Dr Michael R Petersen, MD
2000 N Huron River Dr Ste 100,
Ypsilanti, MI 48197
(734) 572-1200
(734) 572-9760



Physician's Profile

Full NameDr Michael R Petersen
GenderMale
SpecialityOphthalmology
Experience38 Years
Location2000 N Huron River Dr Ste 100, Ypsilanti, Michigan
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 Michael R Petersen attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1629005160
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 08/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163328865
  • Enrollment ID: I20100215000735

Medical Identifiers

Medical identifiers for Dr Michael R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629005160NPI-NPPES
180026057OtherOHRAIL ROAD MEDICARE
100374400MedicaidIN
000000021228OtherBCBS
0886528MedicaidOH
64930167MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 35-06-3107 (Ohio)Secondary
207WX0107XOphthalmology - Retina Specialist 4301406847 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cei Physicians Psc, Llc0749186427145

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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 Michael R Petersen allows following entities to bill medicare on his behalf.
Entity NameCei Physicians Psc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942296298
PECOS PAC ID: 0749186427
Enrollment ID: O20031211001059

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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 Michael R Petersen 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 Michael R Petersen, MD
39650 Orchard Hill Pl Ste 200,
Novi, MI 48375-5391

Ph: (248) 319-0161
Dr Michael R Petersen, MD
2000 N Huron River Dr Ste 100,
Ypsilanti, MI 48197

Ph: (734) 572-1200

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Ophthalmology Doctors in Ypsilanti, MI

Joanne Jeean Choi,
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197
Phone: 734-712-3980    
John P Barletta, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197
Phone: 734-434-6000    Fax: 734-434-7005
Dr. Maxwell William Dixon, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197
Phone: 734-434-6000    Fax: 734-434-7005
Dr. Barry R Fuller, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197
Phone: 734-434-6000    Fax: 734-434-7005
Dr. Donna Judith Tal, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5333 Mcauley Dr, Suite 6015, Ypsilanti, MI 48197
Phone: 734-434-7400    Fax: 734-434-7323
Dr. Sunita Yedavally, DO
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Huron River Dr, 100, Ypsilanti, MI 48197
Phone: 734-572-1200    Fax: 734-572-9760
Thomas E Kehn, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 5477 W Clark Rd, Ypsilanti, MI 48197
Phone: 734-434-6000    Fax: 734-434-7005

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