Dr Troy R Petersen, DMD MD in Grand Forks, ND - Medicare Oral Surgery Provider

Dr Troy R Petersen, DMD MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Grand Forks, North Dakota. He went to University Of Nebraska College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Valley Oral And Facial Surgery Pc and his current practice location is 1165c South Columbia Road, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 772-7379.

Dr Troy R Petersen is licensed to practice in North Dakota (license number 1897) 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 1073697157.

Contact Information

	Dr Troy R Petersen, DMD MD
	1165c South Columbia Road, Grand Forks, ND 58201-4007
	(701) 772-7379
	(701) 772-9643

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Troy R Petersen
Gender	Male
Speciality	Oral Surgery
Experience	23 Years
Location	1165c South Columbia Road, Grand Forks, North Dakota
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 Troy R Petersen attended and graduated from University Of Nebraska College Of Medicine in 2001

NPI Data:

NPI Number: 1073697157
Provider Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3779573118
Enrollment ID: I20040517000747

Medical Identifiers

Medical identifiers for Dr Troy R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073697157	NPI	-	NPPES
12975	Medicaid	ND
252L7PE	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	1897 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Altru Hospital	Grand forks, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Oral And Facial Surgery Pc	3072617455	4

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 Troy R Petersen allows following entities to bill medicare on his behalf.

Entity Name	Valley Oral & Facial Surgery Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801959788 PECOS PAC ID: 3072617455 Enrollment ID: O20070323000241

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 Troy R 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 Troy R Petersen, DMD MD 1165c South Columbia Road, Grand Forks, ND 58201-4007 Ph: (701) 772-7379	Dr Troy R Petersen, DMD MD 1165c South Columbia Road, Grand Forks, ND 58201-4007 Ph: (701) 772-7379

Reviews and Comments

Dentist in Grand Forks, ND

Dr. Christopher Algot Eriksson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 South 4th Street, Suite 101, Grand Forks, ND 58201 Phone: 701-412-3600
Dr. Glenn Wayne Labine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 S Washington, Suite C, Grand Forks, ND 58201 Phone: 701-775-0682
Jon Federspiel, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 319th Medical Group, 1599 J Street, Grand Forks, ND 58205 Phone: 317-361-0581
Dr. Heidi Nicole Undlin Stevens, DDS Dentist Medicare: Medicare Enrolled Practice Location: Dakota Dental Associates Pc, 4000 17th Ave S, Grand Forks, ND 58201 Phone: 701-775-0641 Fax: 701-746-9328
Dr. Jackie Rae Nord, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 212 S 4th St, Suite 101, Grand Forks, ND 58201 Phone: 701-757-2100
Dr. Brian J Nord, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2720 17th Avenue South, Grand Forks, ND 58201 Phone: 701-772-6922 Fax: 701-746-8080
Dr. Steven Michael Erlandson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 S Washington St, Suite D, Grand Forks, ND 58201 Phone: 701-772-6581 Fax: 701-772-5536

Dr Troy R Petersen, DMD MD - Medicare Dentist in Grand Forks, ND