Dr Randolph K Peterson, MD - Medicare Pathology in Edina, MN

Dr Randolph K Peterson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Edina, Minnesota. He went to University Of Minnesota Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Minnesota Urology Pa and his current practice location is 6525 France Ave S, Suite 200, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 927-6501.

Dr Randolph K Peterson is licensed to practice in Minnesota (license number 40788) 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 1053380204.

Contact Information

Dr Randolph K Peterson, MD
6525 France Ave S, Suite 200,
Edina, MN 55435-2148
(952) 927-6501
(952) 653-1435



Physician's Profile

Full NameDr Randolph K Peterson
GenderMale
SpecialityPathology
Experience31 Years
Location6525 France Ave S, Edina, Minnesota
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 Randolph K Peterson attended and graduated from University Of Minnesota Medical School in 1993
  NPI Data:
  • NPI Number: 1053380204
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 11/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2961566096
  • Enrollment ID: I20090204000093

Medical Identifiers

Medical identifiers for Dr Randolph K Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053380204NPI-NPPES
984811017049OtherMNPREFERRED ONE
HP31830OtherMNHEALTHPARTNERS
881029000MedicaidMN
220033481OtherMNRAILROAD MEDICARE
525S5PEOtherMNBLUE CROSS
11-00306OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 40788 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minnesota Urology Pa084018398467

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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 Randolph K Peterson allows following entities to bill medicare on his behalf.
Entity NameMinnesota Urology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912971912
PECOS PAC ID: 0840183984
Enrollment ID: O20040204000003

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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 Randolph K 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 Randolph K Peterson, MD
6525 France Ave S, Suite 200,
Edina, MN 55435-2148

Ph: (952) 927-6501
Dr Randolph K Peterson, MD
6525 France Ave S, Suite 200,
Edina, MN 55435-2148

Ph: (952) 927-6501

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Pathology Doctors in Edina, MN

Kathrine P. Frey, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Bruce C. Trautman, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Shannon Welter, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Gary J. Carlson, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Daniel Berntson, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Dale C. Snover, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    

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