Dr John William Petersen, DC in Maple Grove, MN - Medicare Chiropractor Provider

Dr John William Petersen, DC is a medicare enrolled "Chiropractor - Neurology" provider in Maple Grove, Minnesota. His current practice location is 12000 Elm Creek Blvd N Ste L70, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 420-4111.

Dr John William Petersen is licensed to practice in Minnesota (license number 1764) 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 1720110737.

Contact Information

	Dr John William Petersen, DC
	12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369-7167
	(763) 420-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John William Petersen
Gender	Male
Speciality	Chiropractor - Neurology
Location	12000 Elm Creek Blvd N Ste L70, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720110737
Provider Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456411388
Enrollment ID: I20081121000123

Medical Identifiers

Medical identifiers for Dr John William Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720110737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NN0400X	Chiropractor - Neurology	1764 (Minnesota)	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. Dr John William Petersen allows following entities to bill medicare on his behalf.

Provider Name	Mason Orth Pc Mn
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407160534 PECOS PAC ID: 3577742576 Enrollment ID: O20110124000241

Provider Name	Petersen Chiropractic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144634395 PECOS PAC ID: 4284951880 Enrollment ID: O20150319000432

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 John William Petersen 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 John William Petersen, DC 12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369-7167 Ph: (763) 420-4111	Dr John William Petersen, DC 12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369-7167 Ph: (763) 420-4111

Reviews and Comments

Chiropractor in Maple Grove, MN

Dr. Andrew Robert Coulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13800 83rd Way N, Suite 108, Maple Grove, MN 55369 Phone: 763-494-0828 Fax: 763-494-0856
Warren D Hildreth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6774 Queensland Ln N, Maple Grove, MN 55311 Phone: 763-773-3109
Waypoint Minnesota Sports Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9325 Upland Ln N, Suite 230, Maple Grove, MN 55369 Phone: 763-315-0466
Conscious Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13786 Reimer Dr N, Maple Grove, MN 55311 Phone: 763-337-4543
Trillium Chiropractic & Wellness Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 Phone: 763-420-2226
Mr. James Kent Nord, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 16334 County Rd 30, Maple Grove, MN 55311 Phone: 763-416-1799 Fax: 763-416-1949
Shane A. Boroditsky, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 612-281-3575 Fax: 612-605-8257

Dr John William Petersen, DC - Medicare Chiropractor in Maple Grove, MN