Alexander Lee Peterson, D-PT in Green Bay, WI - Medicare Physical Therapist Provider

Alexander Lee Peterson, D-PT is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. His current practice location is 3263 Eaton Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-6700.

Alexander Lee Peterson is licensed to practice in Wisconsin (license number 16062-24) 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 1013641604.

Contact Information

	Alexander Lee Peterson, D-PT
	3263 Eaton Rd, Green Bay, WI 54311-6830
	(920) 433-6700
	(920) 433-6719

Map and Direction

Healthcare Provider's Profile

Full Name	Alexander Lee Peterson
Gender	Male
Speciality	Physical Therapist
Location	3263 Eaton Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013641604
Provider Enumeration Date: 07/11/2022
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 7416330097
Enrollment ID: I20220815001175

Medical Identifiers

Medical identifiers for Alexander Lee Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013641604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16024-24 (Wisconsin)	Secondary
225100000X	Physical Therapist	16062-24 (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. Alexander Lee Peterson allows following entities to bill medicare on his behalf.

Provider Name	Bellin Memorial Hospital Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Provider Name	Oconto Hospital & Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836

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. Alexander Lee 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
Alexander Lee Peterson, D-PT Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210	Alexander Lee Peterson, D-PT 3263 Eaton Rd, Green Bay, WI 54311-6830 Ph: (920) 433-6700

Reviews and Comments

Physical Therapist in Green Bay, WI

Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227
Samuel Adam Krier, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700

Alexander Lee Peterson, D-PT - Medicare Physical Therapist in Green Bay, WI