Gregory Matthew Peterson, MD - Medicare Emergency Medicine in Waconia, MN

Gregory Matthew Peterson, MD is a medicare enrolled "Emergency Medicine" physician in Waconia, Minnesota. His current practice location is 500 S Maple St, Empac, Ridgeview Medical Center, Waconia, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 442-2191.

Gregory Matthew Peterson is licensed to practice in Minnesota (license number 55134) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245467141.

Contact Information

Gregory Matthew Peterson, MD
500 S Maple St, Empac, Ridgeview Medical Center,
Waconia, MN 55387-1752
(952) 442-2191
Not Available



Physician's Profile

Full NameGregory Matthew Peterson
GenderMale
SpecialityEmergency Medicine
Location500 S Maple St, Waconia, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245467141
  • Provider Enumeration Date: 06/18/2009
  • Last Update Date: 08/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8224284096
  • Enrollment ID: I20120809000760

Medical Identifiers

Medical identifiers for Gregory Matthew Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245467141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 55134 (Minnesota)Primary

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. Gregory Matthew Peterson allows following entities to bill medicare on his behalf.
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183

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Entity NameSibley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740240225
PECOS PAC ID: 3870722499
Enrollment ID: O20140418000315

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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. Gregory Matthew 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
Gregory Matthew Peterson, MD
500 S Maple St, Empac, Ridgeview Medical Center,
Waconia, MN 55387-1752

Ph: (952) 442-2191
Gregory Matthew Peterson, MD
500 S Maple St, Empac, Ridgeview Medical Center,
Waconia, MN 55387-1752

Ph: (952) 442-2191

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Emergency Medicine Doctors in Waconia, MN

Dr. Robert Reardon, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Dr. David Brian Haugland, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 424 W Highway 5, Waconia, MN 55387
Phone: 952-442-4461    Fax: 952-442-1547
Dr. Bruce Hubbard, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Dr. Sara Fish, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Dr. Erine Oi Ming Fong, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Dr. Kathleen M Sweetman, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 424 W Highway 5, Waconia, MN 55387
Phone: 952-442-4461    
Dr. Kevin Sipprell, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    

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