Chase B Petersen, MD - Medicare Obstetrics/gynecology in Logan, UT

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Chase B Petersen, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Logan, Utah. He went to University Of Vermont College Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is 1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-1920.

Chase B Petersen is licensed to practice in Illinois (license number 036.178096) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407144702.

Contact Information

Chase B Petersen, MD
1400 N 500 E,
Logan, UT 84341
(435) 716-1920
Not Available

Map and Direction




Physician's Profile

Full NameChase B Petersen
GenderMale
SpecialityObstetrics/gynecology
Experience15 Years
Location1400 N 500 E, Logan, Utah
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chase B Petersen attended and graduated from University Of Vermont College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1407144702
  • Provider Enumeration Date: 07/20/2011
  • Last Update Date: 06/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507099637
  • Enrollment ID: I20260128002492

Medical Identifiers

Medical identifiers for Chase B Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407144702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036.178096 (Illinois)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. Chase B Petersen allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameFreeport Regional Health Care Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457337016
PECOS PAC ID: 9234041682
Enrollment ID: O20031104000182
Entity NameFreeport Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447228788
PECOS PAC ID: 8426958232
Enrollment ID: O20040109000305

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. Chase B 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
Chase B Petersen, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: Not Available		Chase B Petersen, MD
1400 N 500 E,
Logan, UT 84341

Ph: (435) 716-1920

Reviews and Comments


Obstetrics & Gynecology Doctors in Logan, UT

Ernest Brett Horsley, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1920    
Dr. Francis Neal Mortenson, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Fox Farm Rd, Logan, UT 84321
Phone: 435-753-0870    Fax: 435-753-0870
Kimberly D Mcculloch, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1920    
James P Benedict, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1920    
Mrs. Anne Sadler Blackett, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341
Phone: 435-753-9999    
David A Kirkman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 No 600e, #102, Logan, UT 84341
Phone: 435-753-9999    Fax: 435-753-2301
Dr. Jon W Ahlstrom, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 550 E 1400 N, Suite I, Logan, UT 84341
Phone: 435-753-1545    

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.