Breanna Peterson, DO is a medicare enrolled "Emergency Medicine" physician in Princeton, Minnesota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Fairview Health Services and 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
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 1013399112.
Physician's Profile
Full Name | Breanna Peterson |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 9 Years |
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Location | 911 Northland Dr, Princeton, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Breanna Peterson graduated from medical school in 2015
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: I20190920001035
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fairview Health Services | 1951213057 | 559 |
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 | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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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 |
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