Anne E Petersen, MD - Medicare General Surgery in Columbia, MO

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Anne E Petersen, MD is a medicare enrolled "Surgery" physician in Columbia, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Boone Physician Services Llc and her current practice location is 1601 E Broadway, Ste 240, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 815-8145.

Anne E Petersen is licensed to practice in Missouri (license number 2006010643) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114968435.

Contact Information

Anne E Petersen, MD
1601 E Broadway, Ste 240,
Columbia, MO 65201-8020
(573) 815-8145
(573) 815-3832

Map and Direction




Physician's Profile

Full NameAnne E Petersen
GenderFemale
SpecialityGeneral Surgery
Experience25 Years
Location1601 E Broadway, Columbia, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anne E Petersen attended and graduated from Saint Louis University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1114968435
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 02/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5799788261
  • Enrollment ID: I20060823000286

Medical Identifiers

Medical identifiers for Anne E Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114968435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2006010643 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boone Hospital CenterColumbia, MOHospital
University Of Missouri Health CareColumbia, MOHospital
Fitzgibbon HospitalMarshall, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boone Physician Services Llc6507090644243

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. Anne E Petersen allows following entities to bill medicare on her behalf.
Entity NameGeneral John J Pershing Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982612461
PECOS PAC ID: 2860306750
Enrollment ID: O20031117000114
Entity NameGeneral John J Pershing Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1417991159
PECOS PAC ID: 2860306750
Enrollment ID: O20071203000495
Entity NameBoone Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760893259
PECOS PAC ID: 6507090644
Enrollment ID: O20131003000535

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. Anne E 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
Anne E Petersen, MD
670 Mason Ridge Center Dr, Ste 300,
Saint Louis, MO 63141-8573

Ph: (573) 815-8145		Anne E Petersen, MD
1601 E Broadway, Ste 240,
Columbia, MO 65201-8020

Ph: (573) 815-8145

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.