Rebecca D Peterson, APRN, CNP - Medicare Nurse Practitioner in Detroit Lakes, MN

Rebecca D Peterson, APRN, CNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" physician in Detroit Lakes, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 846-2000.

Rebecca D Peterson is licensed to practice in Minnesota (license number 7249) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225662695.

Contact Information

Rebecca D Peterson, APRN, CNP
1245 Washington Ave,
Detroit Lakes, MN 56501-3923
(218) 846-2000
Not Available



Physician's Profile

Full NameRebecca D Peterson
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1245 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rebecca D Peterson graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1225662695
  • Provider Enumeration Date: 02/25/2020
  • Last Update Date: 03/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416386420
  • Enrollment ID: I20200326001089

Medical Identifiers

Medical identifiers for Rebecca D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225662695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 7249 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 7249 (Minnesota)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 7249 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094

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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. Rebecca D Peterson allows following entities to bill medicare on her behalf.
Entity NameSt Marys Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679561088
PECOS PAC ID: 2062326820
Enrollment ID: O20031117000090

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Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031

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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. Rebecca D 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
Rebecca D Peterson, APRN, CNP
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Rebecca D Peterson, APRN, CNP
1245 Washington Ave,
Detroit Lakes, MN 56501-3923

Ph: (218) 846-2000

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