Dr Gerald Dudley Peterson, DPM in West Linn, OR - Medicare Podiatrist Provider

Dr Gerald Dudley Peterson, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in West Linn, Oregon. His current practice location is 1880 Willamette Falls Dr, Suite 111, West Linn, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 657-1900.

Dr Gerald Dudley Peterson is licensed to practice in Oregon (license number 118) 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 1316983513.

Contact Information

	Dr Gerald Dudley Peterson, DPM
	1880 Willamette Falls Dr, Suite 111, West Linn, OR 97068-4652
	(503) 657-1900
	(503) 657-7744

Healthcare Provider's Profile

Full Name	Dr Gerald Dudley Peterson
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	1880 Willamette Falls Dr, West Linn, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316983513
Provider Enumeration Date: 06/22/2006
Last Update Date: 08/29/2011

Medicare PECOS Information:

PECOS PAC ID: 3779576442
Enrollment ID: I20040407000884

Medical Identifiers

Medical identifiers for Dr Gerald Dudley Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316983513	NPI	-	NPPES
930743342	Other	OR	BCBS OF OREGON
168161	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	118 (Oregon)	Primary

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 Gerald Dudley 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 Address	Practice Location Address
Dr Gerald Dudley Peterson, DPM 1880 Willamette Falls Dr, Suite 111, West Linn, OR 97068-4652 Ph: (503) 657-1900	Dr Gerald Dudley Peterson, DPM 1880 Willamette Falls Dr, Suite 111, West Linn, OR 97068-4652 Ph: (503) 657-1900

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Podiatrist in West Linn, OR

Family Foot Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068 Phone: 503-657-1900
Dr. Heather Keeler, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068 Phone: 503-657-1900
Dr. Jason A. Keeler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1880 Willamette Falls Dr, #111, West Linn, OR 97068 Phone: 503-657-1900

Dr Gerald Dudley Peterson, DPM - Medicare Podiatrist in West Linn, OR