Brian Walter Petersen, DO is a medicare enrolled "Orthopaedic Surgery" physician in Manchester, Tennessee. His current practice location is
482 Interstate Dr Ste 102, Manchester, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 488-8700.
Brian Walter Petersen is licensed to practice in Tennessee (license number 2291) 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 1861693095.
Physician's Profile
| Full Name | Brian Walter Petersen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 482 Interstate Dr Ste 102, Manchester, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian Walter Petersen attended and graduated from in
NPI Data:
- NPI Number: 1861693095
- Provider Enumeration Date: 05/28/2007
- Last Update Date: 09/30/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brian Walter Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861693095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 2291 (Tennessee) | Primary |
| 207X00000X | Orthopaedic Surgery | TL1160 (Wyoming) | Secondary |
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. Brian Walter 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 |
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Brian Walter Petersen, DO
111 Mosby Ct,
Shelbyville, TN 37160-7179
Ph: () - | Brian Walter Petersen, DO
482 Interstate Dr Ste 102,
Manchester, TN 37355-3485
Ph: (931) 488-8700 |
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