Michael C Peterson, MD - Medicare Internal Medicine in Provo, UT

Michael C Peterson, MD is a medicare enrolled "Internal Medicine" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Intermountain Healthcare Services, Inc, Central Valley Medical Center, Central Utah Clinic Pc and his current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-4366.

Michael C Peterson is licensed to practice in Utah (license number 187826-1205) 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 1902827322.

Contact Information

Michael C Peterson, MD
1034 N 500 W,
Provo, UT 84604-3380
(801) 373-4366
(801) 429-8191



Physician's Profile

Full NameMichael C Peterson
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location1034 N 500 W, Provo, Utah
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:
  • Michael C Peterson attended and graduated from University Of Utah School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1902827322
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062436207
  • Enrollment ID: I20060116000082

Medical Identifiers

Medical identifiers for Michael C Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902827322NPI-NPPES
870419324004MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 187826-1205 (Utah)Secondary
207R00000XInternal Medicine 187826-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital
Central Valley Medical Center - CahNephi, UTHospital
Sanpete Valley Hospital - CahMount pleasant, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063
Central Valley Medical Center266838046017
Central Utah Clinic Pc7517868508391

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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. Michael C Peterson allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

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Entity NameCentral Valley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992724975
PECOS PAC ID: 2668380460
Enrollment ID: O20040419000626

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Entity NameCentral Valley Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881658110
PECOS PAC ID: 2668380460
Enrollment ID: O20061104000178

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Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Michael C 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
Michael C Peterson, MD
1055 N 500 W, Credentialing Department,
Provo, UT 84604-3305

Ph: (801) 354-8225
Michael C Peterson, MD
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 373-4366

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Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 745 N 500 W Ste 200, Provo, UT 84601
Phone: 801-375-9292    Fax: 801-375-9290
Daniel N. Bennett, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604
Phone: 801-373-4366    
Dr. Christopher Ryan Lew, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-960-7558    
Albert Rivero, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604
Phone: 801-357-8310    
Dr. Wenshu Yu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604
Phone: 801-818-1940    Fax: 801-818-1945
William T. Stephenson Ii, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604
Phone: 801-357-8200    Fax: 801-357-8201
Gregory E Craner, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604
Phone: 801-374-1268    Fax: 801-429-8041

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