Jeffrey J Peterson, MD - Medicare Pediatrics in St Paul, MN

Jeffrey J Peterson, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in St Paul, Minnesota. His current practice location is 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 220-6914.

Jeffrey J Peterson is licensed to practice in Minnesota (license number 39849) 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 1497832513.

Contact Information

Jeffrey J Peterson, MD
345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency,
St Paul, MN 55102
(651) 220-6914
Not Available



Physician's Profile

Full NameJeffrey J Peterson
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location345 North Smith Avenue, St Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497832513
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355660705
  • Enrollment ID: I20150506000787

Medical Identifiers

Medical identifiers for Jeffrey J Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497832513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 39849 (Minnesota)Primary
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 39849 (Minnesota)Primary
208000000XPediatrics 39849 (Minnesota)Primary
2080P0204XPediatrics - Pediatric Emergency Medicine 39849 (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. Jeffrey J Peterson allows following entities to bill medicare on his behalf.
Entity NameChildren's Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932208808
PECOS PAC ID: 2668370966
Enrollment ID: O20040406000939

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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. Jeffrey J 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
Jeffrey J Peterson, MD
2910 Centre Pointe Drive, Childrens Health Care 35 121a,
Roseville, MN 55113

Ph: (651) 855-2327
Jeffrey J Peterson, MD
345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency,
St Paul, MN 55102

Ph: (651) 220-6914

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Pediatrics Doctors in St Paul, MN

Yoav H Messinger, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 347 North Smith Avenue, St Paul, MN 55102
Phone: 651-220-6732    Fax: 651-220-6005
Kimberly K Rathmann, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104
Phone: 651-999-4700    Fax: 651-999-4781
Krishna M Saxena, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102
Phone: 651-220-6818    Fax: 651-220-6064
Dr. Carolyn J Levitt, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 347 North Smith Avenue, 401, Midwest Childrens Resource Center, St Paul, MN 55102
Phone: 651-220-6750    Fax: 651-220-6770
Sylvia M Sekhon, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108
Phone: 651-641-6200    Fax: 651-641-6205
Susan C Goodale, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 393 N Dunlap St, Suite 300, St Paul, MN 55104
Phone: 651-645-4693    Fax: 651-645-6503
Richard D Andersen, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102
Phone: 651-220-6444    Fax: 651-220-7233

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