Alan C Peterson, MD in Fort Wayne, IN - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Alan C Peterson, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fort Wayne, Indiana. His current practice location is 7910 W Jefferson Blvd, Suite 102, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-2297.

Alan C Peterson is licensed to practice in Indiana (license number 01031812A) 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 1477555225.

Contact Information

	Alan C Peterson, MD
	7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159
	(260) 432-2297
	(260) 434-6420

Map and Direction

Physician's Profile

Full Name	Alan C Peterson
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	7910 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477555225
Provider Enumeration Date: 08/11/2005
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 8628978384
Enrollment ID: I20040422000645

Medical Identifiers

Medical identifiers for Alan C Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477555225	NPI	-	NPPES
330005240	Other	IN	RR MEDICARE
2907251	Medicaid	MI
0518649	Medicaid	OH
100096130	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	01031812A (Indiana)	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. Alan C Peterson allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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. Alan C 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
Alan C Peterson, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514	Alan C Peterson, MD 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 Ph: (260) 432-2297

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Fort Wayne, IN

David P Lloyd, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Bruce A. Hook, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804 Phone: 260-436-2424 Fax: 260-436-2922
David T Sowden, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Ulfur T Gudjonsson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Joseph A Greenlee Iii, M. D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805
Marcus A Jimenez, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7231 Engle Rd, Ste 100, Fort Wayne, IN 46804 Phone: 260-432-7654 Fax: 260-432-7709

Alan C Peterson, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN