Mark Peterson, DO - Medicare Emergency Medicine in Flagstaff, AZ

Mark Peterson, DO is a medicare enrolled "Emergency Medicine" physician in Flagstaff, Arizona. He went to College Of Osteopathic Physicians And Surgeons Of Los Angeles and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Winslow Indian Health Care Center Inc and his current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 380-0476.

Mark Peterson is licensed to practice in Arizona (license number 3006) 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 1295881274.

Contact Information

Mark Peterson, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 380-0476
(928) 214-3882



Physician's Profile

Full NameMark Peterson
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location1200 N Beaver St, Flagstaff, Arizona
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:
  • Mark Peterson attended and graduated from College Of Osteopathic Physicians And Surgeons Of Los Angeles in 1991
  NPI Data:
  • NPI Number: 1295881274
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092847558
  • Enrollment ID: I20220926000579

Medical Identifiers

Medical identifiers for Mark Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295881274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 3006 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Verde Valley Medical CenterCottonwood, AZHospital
Flagstaff Medical CenterFlagstaff, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Winslow Indian Health Care Center Inc428454899171

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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. Mark Peterson allows following entities to bill medicare on his behalf.
Entity NameWinslow Indian Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184729493
PECOS PAC ID: 4284548991
Enrollment ID: O20031117000864

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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. Mark 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
Mark Peterson, DO
1050 N San Francisco St Ste D,
Flagstaff, AZ 86001-3259

Ph: (928) 380-0476
Mark Peterson, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 380-0476

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Emergency Medicine Doctors in Flagstaff, AZ

Thomas Matthew Reeve, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 210-464-7442    
Dr. Nathan Lawrence Whitfield, M.D., PH.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-3930    
Dr. Michael Ray,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-380-0476    Fax: 928-214-3882
Dr. Kevin Conn, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-380-0476    Fax: 928-214-3882
Dr. Edward Clark Hiltner Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    Fax: 928-214-3882
Dr. Brian C Fuller, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001
Phone: 928-226-6400    Fax: 928-226-6411
Dr. James Hayes, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-774-1693    Fax: 928-774-3533

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