Mr Michael Andrew Peterson, - Medicare Nurse Anesthetist, Certified Registered in Ashland, WI

Mr Michael Andrew Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ashland, Wisconsin. His current practice location is 1615 Maple Lane, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 682-4563.

Mr Michael Andrew Peterson is licensed to practice in Wisconsin (license number 80086030) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023087046.

Contact Information

Mr Michael Andrew Peterson,
1615 Maple Lane,
Ashland, WI 54806
(715) 682-4563
(715) 685-5108



Provider's Profile

Full NameMr Michael Andrew Peterson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1615 Maple Lane, Ashland, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023087046
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4981628443
  • Enrollment ID: I20130712000655

Medical Identifiers

Medical identifiers for Mr Michael Andrew Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023087046NPI-NPPES
44320400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 80086030 (Wisconsin)Primary

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. Mr Michael Andrew Peterson allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Health System-franciscan Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20040708000447

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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. Mr Michael Andrew 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
Mr Michael Andrew Peterson,
Po Box 1547,
Sedalia, MO 65307

Ph: (660) 826-5960
Mr Michael Andrew Peterson,
1615 Maple Lane,
Ashland, WI 54806

Ph: (715) 682-4563

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Nurse Anesthetist, Certified Registered Nurses in Ashland, WI

Thomas William Jorgensen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Ln, Ashland, WI 54806
Phone: 715-685-5500    
Gregory Allen Zinke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Ln, Ashland, WI 54806
Phone: 715-685-5500    
Ms. Suzanne M Ulmer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Ln, Ashland, WI 54806
Phone: 715-682-4563    
Mr. Stephen Charles Cushing, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-682-4563    Fax: 815-685-5108
Mr. Shawn Douglas Brede, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-682-4563    Fax: 715-685-5108

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