Kevin P Peterson, MD - Medicare Family Practice in Minneapolis, MN

Kevin P Peterson, MD is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. He went to University Of Minnesota Medical School and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healtheast Medical Research Institute and his current practice location is 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 772-3461.

Kevin P Peterson is licensed to practice in Minnesota (license number 27012) 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 1558327064.

Contact Information

Kevin P Peterson, MD
1414 Maryland Ave E, Umphysicians Phalen Village Clinic,
Minneapolis, MN 55106
(651) 772-3461
(651) 772-5477

Map and Direction




Physician's Profile

Full NameKevin P Peterson
GenderMale
SpecialityFamily Practice
Experience43 Years
Location1414 Maryland Ave E, Minneapolis, 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:
  • Kevin P Peterson attended and graduated from University Of Minnesota Medical School in 1981
  NPI Data:
  • NPI Number: 1558327064
  • Provider Enumeration Date: 04/24/2006
  • Last Update Date: 02/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8325072895
  • Enrollment ID: I20090514000379

Medical Identifiers

Medical identifiers for Kevin P Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558327064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27012 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Healtheast Woodwinds HospitalWoodbury, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healtheast Medical Research Institute3971407636500

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. Kevin P Peterson allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507

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. Kevin P 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
Kevin P Peterson, MD
720 Washington Ave Se, Ste 200, University Of Minnesota Physicians,
Minneapolis, MN 55414

Ph: (612) 884-0649
Kevin P Peterson, MD
1414 Maryland Ave E, Umphysicians Phalen Village Clinic,
Minneapolis, MN 55106

Ph: (651) 772-3461

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.