Dr Alicia Peterson, MD in Salt Lake City, UT - Medicare Emergency Medicine

Dr Alicia Peterson, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. She went to Creighton University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Teton County Hospital District and her current practice location is 30 N 1900 E Rm 1c026, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (863) 263-4012.

Dr Alicia Peterson is licensed to practice in Arizona (license number 50088) 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 1215296561.

Contact Information

	Dr Alicia Peterson, MD
	30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002
	(863) 263-4012
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Alicia Peterson
Gender	Female
Speciality	Emergency Medicine
Experience	12 Years
Location	30 N 1900 E Rm 1c026, Salt Lake City, Utah
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:

Dr Alicia Peterson attended and graduated from Creighton University School Of Medicine in 2012

NPI Data:

NPI Number: 1215296561
Provider Enumeration Date: 05/07/2012
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8426360447
Enrollment ID: I20151111000421

Medical Identifiers

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

Identifier	Type	State	Issuer
1215296561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	TL3003 (Wyoming)	Secondary
207P00000X	Emergency Medicine	62380 (Minnesota)	Secondary
207P00000X	Emergency Medicine	9353662-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	50088 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Johns Medical Center	Jackson, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Teton County Hospital District	4880582295	109

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. Dr Alicia Peterson allows following entities to bill medicare on her behalf.

Entity Name	Teton County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104204361 PECOS PAC ID: 0941525273 Enrollment ID: O20150625001685

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 Alicia 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
Dr Alicia Peterson, MD 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 Ph: () -	Dr Alicia Peterson, MD 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 Ph: (863) 263-4012

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr Alicia Peterson, MD - Medicare Emergency Medicine in Salt Lake City, UT