Carl R Peterson, DC is a medicare enrolled "Chiropractor" provider in Coon Valley, Wisconsin. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 1994 and has 32 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Coon Valley Chiropractic Sc and his current practice location is
113 Central Ave, Coon Valley Chiropractic, Coon Valley, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 452-2525.
Carl R Peterson is licensed to practice in Wisconsin (license number 3132) 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 1144281684.
Healthcare Provider's Profile
| Full Name | Carl R Peterson |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 32 Years |
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| Location | 113 Central Ave, Coon Valley, Wisconsin |
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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:
- Carl R Peterson attended and graduated from Palmer College Chiropractic - West Sunnyvale in 1994
NPI Data:
- NPI Number: 1144281684
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 02/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 2062411283
- Enrollment ID: I20061215000115
Medical Identifiers
Medical identifiers for Carl R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144281684 | NPI | - | NPPES |
| 263J1PE | Other | MN | BC/BS MN # |
| 350041526 | Other | WI | RR MEDICARE # |
| 38880400 | Medicaid | WI | |
| 0006 | Other | WI | MEDICARE SEQUENCE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3132 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coon Valley Chiropractic Sc | 6901856053 | 2 |
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. Carl R Peterson allows following entities to bill medicare on his behalf.
| Provider Name | Coon Valley Chiropractic Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275610222
PECOS PAC ID: 6901856053
Enrollment ID: O20050126000569 |
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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. Carl R 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 |
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Carl R Peterson, DC
113 Central Ave, Coon Valley Chiropractic,
Coon Valley, WI 54623
Ph: (608) 452-2525 | Carl R Peterson, DC
113 Central Ave, Coon Valley Chiropractic,
Coon Valley, WI 54623
Ph: (608) 452-2525 |
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