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

Dr John William Petersen, DC is a medicare enrolled "Chiropractor - Neurology" provider in Maple Grove, Minnesota. He went to Northwestern College Of Chiropractic and graduated in 1981 and has 43 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Mason Orth Pc Mn and 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 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 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 NameDr John William Petersen
GenderMale
SpecialityChiropractic
Experience43 Years
Location12000 Elm Creek Blvd N Ste L70, Maple Grove, 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:
  • Dr John William Petersen attended and graduated from Northwestern College Of Chiropractic in 1981
  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.
IdentifierTypeStateIssuer
1720110737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NN0400XChiropractor - Neurology 1764 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mason Orth Pc Mn35777425762

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 NameMason Orth Pc Mn
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407160534
PECOS PAC ID: 3577742576
Enrollment ID: O20110124000241
Provider NamePetersen Chiropractic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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


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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.