Dr Alan Clifton Peterson, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Lewiston, Idaho. Dr Alan Clifton Peterson is licensed to practice in Idaho (license number M-9571) and his current practice location is 415 6th St, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 746-0516.
NPI number for Dr Alan Clifton Peterson is 1992751325 and his current mailing address is 415 6th St, Lewiston, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992751325.
Physician's Profile
| Full Name | Dr Alan Clifton Peterson |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 415 6th St, Lewiston, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992751325
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 10/24/2014
Medical Identifiers
Medical identifiers for Dr Alan Clifton Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992751325 | NPI | - | NPPES |
| 807462200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-9571 (Idaho) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD00046440 (Washington) | 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. Dr Alan Clifton Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alan Clifton Peterson, MD
415 6th St,
Lewiston, ID 83501-2431
Ph: (208) 746-0516 | Dr Alan Clifton Peterson, MD
415 6th St,
Lewiston, ID 83501-2431
Ph: (208) 746-0516 |
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