Breanna Peterson, DO in Princeton, MN - Medicare Emergency Medicine

Breanna Peterson, DO is a medicare enrolled "Emergency Medicine" physician in Princeton, Minnesota. Her current practice location is 911 Northland Dr, Princeton, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 389-1313.

Breanna Peterson is licensed to practice in Minnesota (license number 66330) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013399112.

Contact Information

	Breanna Peterson, DO
	911 Northland Dr, Princeton, MN 55371
	(763) 389-1313
	Not Available

Map and Direction

Physician's Profile

Full Name	Breanna Peterson
Gender	Female
Speciality	Emergency Medicine
Location	911 Northland Dr, Princeton, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013399112
Provider Enumeration Date: 06/24/2015
Last Update Date: 09/12/2019

Medicare PECOS Information:

PECOS PAC ID: 7911204508
Enrollment ID: I20180914001235

Medical Identifiers

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

Identifier	Type	State	Issuer
1013399112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	66330 (Minnesota)	Secondary
207P00000X	Emergency Medicine	66330 (Minnesota)	Primary
207Q00000X	Family Medicine	2015018606 (Missouri)	Secondary

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. Breanna Peterson allows following entities to bill medicare on her behalf.

Entity Name	University Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780686436 PECOS PAC ID: 3072421213 Enrollment ID: O20031119000671

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. Breanna 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
Breanna Peterson, DO 400 Stinson Blvd, Minneapolis, MN 55413-2614 Ph: () -	Breanna Peterson, DO 911 Northland Dr, Princeton, MN 55371 Ph: (763) 389-1313

Reviews and Comments

Emergency Medicine Doctors in Princeton, MN

Dr. Roseann Ekstrom, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313
Alex M. Basara, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313
Brendan M Meyer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313
Dr. Zahn Raubenheimer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313
Dr. Craig S Jones Ii, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313
Karl Koivisto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313

Breanna Peterson, DO - Medicare Emergency Medicine in Princeton, MN