Dr Nils W Peterson, MD in Elmira, NY - Otolaryngology

Dr Nils W Peterson, MD is a Otolaryngology physician based in Elmira, New York. Dr Nils W Peterson is licensed to practice in New York (license number 113052) and his current practice location is 200 Madison Ave, Elmira, New York. He can be reached at his office (for appointments etc.) via phone at (607) 734-1581.

NPI number for Dr Nils W Peterson is 1386684488 and his current mailing address is 722 W Water St, Elmira, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386684488.

Contact Information

	Dr Nils W Peterson, MD
	200 Madison Ave, Elmira, NY 14901-3218
	(607) 734-1581
	(607) 767-4137

Physician's Profile

Full Name	Dr Nils W Peterson
Gender	Male
Speciality	Otolaryngology
Location	200 Madison Ave, Elmira, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1386684488
Provider Enumeration Date: 06/07/2006
Last Update Date: 04/16/2014

Medical Identifiers

Medical identifiers for Dr Nils W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386684488	NPI	-	NPPES
00358296	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	113052 (New York)	Primary

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 Nils W Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nils W Peterson, MD 722 W Water St, Elmira, NY 14905-2435 Ph: (607) 271-2093	Dr Nils W Peterson, MD 200 Madison Ave, Elmira, NY 14901-3218 Ph: (607) 734-1581

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Dr Nils W Peterson, MD - Otolaryngology in Elmira, NY