Peter Donald Sershon, MD - Medicare Urology in Saint Paul, MN

Peter Donald Sershon, MD is a medicare enrolled "Urology" physician in Saint Paul, Minnesota. He went to University Of Toledo College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Blount Memorial Physician Group Inc and his current practice location is 360 Sherman St, Suite 450, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 999-6800.

Peter Donald Sershon is licensed to practice in Minnesota (license number 33642) 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 1104813138.

Contact Information

Peter Donald Sershon, MD
360 Sherman St, Suite 450,
Saint Paul, MN 55102-2564
(651) 999-6800
(651) 999-6810



Physician's Profile

Full NamePeter Donald Sershon
GenderMale
SpecialityUrology
Experience35 Years
Location360 Sherman St, Saint Paul, Minnesota
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:
  • Peter Donald Sershon attended and graduated from University Of Toledo College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1104813138
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0244314268
  • Enrollment ID: I20200423000864

Medical Identifiers

Medical identifiers for Peter Donald Sershon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104813138NPI-NPPES
565205700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 33642 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blount Memorial HospitalMaryville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blount Memorial Physician Group Inc6406844174242

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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. Peter Donald Sershon allows following entities to bill medicare on his behalf.
Entity NameBlount Memorial Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547

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Entity NameTennessee Urology Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669416442
PECOS PAC ID: 7618952706
Enrollment ID: O20040622001531

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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. Peter Donald Sershon 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
Peter Donald Sershon, MD
6025 Lake Rd, Suite 200,
Woodbury, MN 55125-1712

Ph: (651) 999-6800
Peter Donald Sershon, MD
360 Sherman St, Suite 450,
Saint Paul, MN 55102-2564

Ph: (651) 999-6800

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Urology Doctors in Saint Paul, MN

Michael Howard Wipf, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102
Phone: 651-999-6800    Fax: 651-999-6910
Dr. Joshua Lane Woelk, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108
Phone: 651-241-9700    Fax: 651-241-9678
Michael Lee Pergament, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102
Phone: 651-999-6800    Fax: 651-999-6910
Walter Paul Gleich, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102
Phone: 651-999-6800    Fax: 651-999-6808
Robert David Fisher, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102
Phone: 651-999-6800    Fax: 651-999-6910
Jesse Jacobs,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130
Phone: 651-254-8500    

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