Nathan Jeffrey Petersen, MD - Medicare Obstetrics/gynecology in Glendale, AZ

Nathan Jeffrey Petersen, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Glendale, Arizona. He went to University Of Virginia School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice The Board Of Trustees Of The University Of Illinois, Heartland Community Health Clinic and his current practice location is 6370 W Union Hills Dr, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 414-3500.

Nathan Jeffrey Petersen is licensed to practice in Arizona (license number 51043) 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 1245525930.

Contact Information

Nathan Jeffrey Petersen, MD
6370 W Union Hills Dr,
Glendale, AZ 85308-7136
(623) 414-3500
(623) 455-9214



Physician's Profile

Full NameNathan Jeffrey Petersen
GenderMale
SpecialityObstetrics/gynecology
Experience13 Years
Location6370 W Union Hills Dr, Glendale, 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:
  • Nathan Jeffrey Petersen attended and graduated from University Of Virginia School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1245525930
  • Provider Enumeration Date: 06/10/2011
  • Last Update Date: 11/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113218116
  • Enrollment ID: I20190724001937

Medical Identifiers

Medical identifiers for Nathan Jeffrey Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245525930NPI-NPPES
167288MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology R72843 (Arizona)Secondary
207V00000XObstetrics & Gynecology 51043 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Board Of Trustees Of The University Of Illinois3072422716929
Heartland Community Health Clinic741685031810

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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. Nathan Jeffrey Petersen allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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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. Nathan Jeffrey 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
Nathan Jeffrey Petersen, MD
6370 W Union Hills Dr,
Glendale, AZ 85308-7136

Ph: (623) 414-3500
Nathan Jeffrey Petersen, MD
6370 W Union Hills Dr,
Glendale, AZ 85308-7136

Ph: (623) 414-3500

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Read more News

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Obstetrics & Gynecology Doctors in Glendale, AZ

Dr. Elizabeth V Mahour-moyer, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-978-1500    Fax: 602-978-0409
Mrs. Amy Blanshard Boots, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-678-1500    Fax: 602-978-0409
Emily Caroline Fanning, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306
Phone: 026-978-1500    Fax: 602-978-0409
Bradley John Folkestad, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 18699 N 67th Ave, Ste 320, Glendale, AZ 85308
Phone: 623-561-7250    Fax: 623-561-0098
Dr. Kelly Ann Goad, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306
Phone: 602-978-1500    Fax: 602-978-0409
Ole Borch-christensen, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5601 W Eugie Ave, Ste 100, Glendale, AZ 85304
Phone: 602-978-1500    Fax: 602-978-0409
Hillary H. Charles, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5757 W. Thunderbird Road, Suite W-202, Glendale, AZ 85306
Phone: 602-678-1111    Fax: 602-678-7090

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