Dr Russell N Petersen, DC in Sheboygan, WI - Medicare Chiropractic Provider

Dr Russell N Petersen, DC is a medicare enrolled "Chiropractor" provider in Sheboygan, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Creekside Chiropractic And Rehabilitation Ltd and his current practice location is 4027 S Business Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 459-9090.

Dr Russell N Petersen is licensed to practice in Wisconsin (license number 4058-012) 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 1164550620.

Contact Information

	Dr Russell N Petersen, DC
	4027 S Business Dr, Sheboygan, WI 53081-1261
	(920) 459-9090
	(920) 459-7426

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Russell N Petersen
Gender	Male
Speciality	Chiropractic
Experience	20 Years
Location	4027 S Business Dr, Sheboygan, Wisconsin
Accepts Medicare Assignments	Yes. 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 Russell N Petersen attended and graduated from Palmer College Chiropractic - Davenport in 2004

NPI Data:

NPI Number: 1164550620
Provider Enumeration Date: 02/28/2007
Last Update Date: 01/23/2012

Medicare PECOS Information:

PECOS PAC ID: 5698796449
Enrollment ID: I20051208000626

Medical Identifiers

Medical identifiers for Dr Russell N Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164550620	NPI	-	NPPES
38834800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	4058-012 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creekside Chiropractic And Rehabilitation Ltd	8921029760	3

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 Russell N Petersen allows following entities to bill medicare on his behalf.

Provider Name	Creekside Chiropractic And Rehabilitation Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801076872 PECOS PAC ID: 8921029760 Enrollment ID: O20051208000586

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 Russell N 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 Russell N Petersen, DC 4027 S Business Dr, Sheboygan, WI 53081-1261 Ph: (920) 459-9090	Dr Russell N Petersen, DC 4027 S Business Dr, Sheboygan, WI 53081-1261 Ph: (920) 459-9090

Reviews and Comments

Chiropractor in Sheboygan, WI

Rachel E Smith, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 707 S Taylor Dr, Sheboygan, WI 53081 Phone: 920-451-7000
Dr. Brian Giuliani, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2530 Fax: 920-828-2535
Dr. Timothy S Kroneck, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1720 N 8th St, Sheboygan, WI 53081 Phone: 920-803-2225 Fax: 920-803-3001
Dr. Daniel Paul Grimm, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 909 S Taylor Dr, Sheboygan, WI 53081 Phone: 920-451-7000 Fax: 920-451-7100
Dr. Jodi B Rabas, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1320 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-459-8475 Fax: 920-694-0437
Colton Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 3411b Lakeshore Rd, Sheboygan, WI 53083 Phone: 920-458-8886

Dr Russell N Petersen, DC - Medicare Chiropractor in Sheboygan, WI