Dr Keith Hjalmar Jude Peterson, - Medicare Nurse Practitioner in Hoboken, NJ

Dr Keith Hjalmar Jude Peterson, is a medicare enrolled "Nurse Practitioner - Acute Care" in Hoboken, New Jersey. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is 77 Park Ave Apt 127, Hoboken, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 931-2812.

Dr Keith Hjalmar Jude Peterson is licensed to practice in New Jersey (license number 26NJ01064600) 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 1275143562.

Contact Information

Dr Keith Hjalmar Jude Peterson,
77 Park Ave Apt 127,
Hoboken, NJ 07030-7106
(973) 931-2812
Not Available



Provider's Profile

Full NameDr Keith Hjalmar Jude Peterson
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location77 Park Ave Apt 127, Hoboken, New Jersey
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:
  • Dr Keith Hjalmar Jude Peterson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1275143562
  • Provider Enumeration Date: 08/03/2020
  • Last Update Date: 11/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1658779988
  • Enrollment ID: I20211018000512

Medical Identifiers

Medical identifiers for Dr Keith Hjalmar Jude Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275143562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR17689800 (New Jersey)Secondary
363LA2100XNurse Practitioner - Acute Care 26NJ01064600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Washington Hospital CenterWashington, DCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstar Medical Group Ii Llc05474138251776

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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. Dr Keith Hjalmar Jude Peterson allows following entities to bill medicare on his behalf.
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415

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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. Dr Keith Hjalmar Jude 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
Dr Keith Hjalmar Jude Peterson,
77 Park Ave Apt 127,
Hoboken, NJ 07030-7106

Ph: (973) 931-2812
Dr Keith Hjalmar Jude Peterson,
77 Park Ave Apt 127,
Hoboken, NJ 07030-7106

Ph: (973) 931-2812

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Nurse Practitioner Nurses in Hoboken, NJ

Ketnie V Aristide,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 221 River St Ste 9, Hoboken, NJ 07030
Phone: 201-308-8252    
Erin K. Dicks, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 59 Washington St, Hoboken, NJ 07030
Phone: 201-798-1889    
Kelly Dowiak,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 77 Park Ave Apt 903, Hoboken, NJ 07030
Phone: 908-414-0478    
Mrs. Kelsey L Robbins, FNP, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 228 Hudson St Apt 3, Hoboken, NJ 07030
Phone: 918-576-1772    
Stacy Teran, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Hudson Pl Fl 6, Hoboken, NJ 07030
Phone: 844-460-0098    
Abiodun Akinola Olatubosun, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 308 Willow Ave, Hoboken, NJ 07030
Phone: 862-220-6803    Fax: 201-418-1800
Adrienne Pannullo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1030 Willow Ave Apt 1, Hoboken, NJ 07030
Phone: 732-670-6538    

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