Dr Jon David Peterson, DPM is a medicare enrolled "Podiatrist" provider in Staples, Minnesota. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Lakewood Health System and his current practice location is
49725 County 83, Staples, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 894-1515.
Dr Jon David Peterson is licensed to practice in Minnesota (license number 513) 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 1508832676.
Healthcare Provider's Profile
| Full Name | Dr Jon David Peterson |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 33 Years |
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| Location | 49725 County 83, Staples, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jon David Peterson attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1991
NPI Data:
- NPI Number: 1508832676
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608917430
- Enrollment ID: I20091230000573
Medical Identifiers
Medical identifiers for Dr Jon David Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508832676 | NPI | - | NPPES |
| 513 | Other | MN | MN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 513 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakewood Health System | 1052229671 | 78 |
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 Jon David Peterson allows following entities to bill medicare on his behalf.
| Provider Name | Lakewood Health System |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841280823
PECOS PAC ID: 1052229671
Enrollment ID: O20031104000411 |
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| Provider Name | Swift County-benson Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174529002
PECOS PAC ID: 8729069281
Enrollment ID: O20040528001145 |
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| Provider Name | Lakewood Health System |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1295726362
PECOS PAC ID: 1052229671
Enrollment ID: O20070618000309 |
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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 Jon David 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 Jon David Peterson, DPM
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 | Dr Jon David Peterson, DPM
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 |
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