James H Petersen, MD - Medicare Internal Medicine in Lake St Louis, MO

James H Petersen, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Lake St Louis, Missouri. His current practice location is 200 Brevco Plz, Suite 208, Lake St Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 561-9020.

James H Petersen is licensed to practice in Missouri (license number MOR7B69) 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 1831169275.

Contact Information

James H Petersen, MD
200 Brevco Plz, Suite 208,
Lake St Louis, MO 63367-2949
(636) 561-9020
Not Available



Physician's Profile

Full NameJames H Petersen
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location200 Brevco Plz, Lake St Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831169275
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 07/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5698670164
  • Enrollment ID: I20100721000971

Medical Identifiers

Medical identifiers for James H Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831169275NPI-NPPES
1831169275MedicaidMO
P01021819OtherMORAILROAD MEDICARE
24528OtherMOBC/BS MISSOURI
202263828MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MOR7B69 (Missouri)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. James H Petersen allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107

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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. James H 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
James H Petersen, MD
200 Brevco Plz, Suite 208,
Lake St Louis, MO 63367-2949

Ph: (636) 561-9020
James H Petersen, MD
200 Brevco Plz, Suite 208,
Lake St Louis, MO 63367-2949

Ph: (636) 561-9020

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The University of Maryland received new funding from the Steven & Alexandra Cohen Foundation to develop novel therapeutic strategies that have the potential to stop infection from Lyme disease pathogens before it begins.

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Internal Medicine Doctors in Lake St Louis, MO

John David Wilkes, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 400 Medical Plz, Suite 100, Lake St Louis, MO 63367
Phone: 636-639-8600    Fax: 636-639-8676
Michael J Zerega, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Brevco Plz, Suite 208, Lake St Louis, MO 63367
Phone: 636-561-9020    Fax: 636-561-6208
Dr. Piotr T Dyk, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2 Harbor Bend Ct Ste 227, Lake St Louis, MO 63367
Phone: 636-443-2440    Fax: 636-443-2486
Melissa Amy Grizzle, FNP-BC
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 107 Brevco Plz, Lake St Louis, MO 63367
Phone: 636-561-8100    Fax: 636-561-3396
Priyanka Tiwari, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Brevco Plz Ste 208, Lake St Louis, MO 63367
Phone: 636-561-9020    
Dr. Paul Barto Vatterott, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 107 Brevco Plz, Lake St Louis, MO 63367
Phone: 636-561-8100    Fax: 636-561-3396
Umesh C. Inampudi, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Medical Plz, Lake St Louis, MO 63367
Phone: 314-317-0600    Fax: 314-317-0606

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