Dr Barry John Peterson, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Rexburg, Idaho. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Upper Valley Ent And Allergy Pllc and his current practice location is
256 N 2nd E, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 656-9646.
Dr Barry John Peterson is licensed to practice in Idaho (license number O-0522) 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 1447456272.
Physician's Profile
| Full Name | Dr Barry John Peterson |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 17 Years |
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| Location | 256 N 2nd E, Rexburg, Idaho |
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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:
- Dr Barry John Peterson graduated from medical school in 2007
NPI Data:
- NPI Number: 1447456272
- Provider Enumeration Date: 06/27/2007
- Last Update Date: 06/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 9234027343
- Enrollment ID: I20090624000089
Medical Identifiers
Medical identifiers for Dr Barry John Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447456272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | O-0522 (Idaho) | Primary |
| 207KA0200X | Allergy & Immunology - Allergy | O-0522 (Idaho) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Upper Valley Ent And Allergy Pllc | 5092949594 | 3 |
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 Barry John Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Upper Valley Ent & Allergy Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124462494
PECOS PAC ID: 5092949594
Enrollment ID: O20131017000462 |
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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. Dr Barry John 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 |
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Dr Barry John Peterson, DO
256 N 2nd E,
Rexburg, ID 83440-1638
Ph: (208) 656-9646 | Dr Barry John Peterson, DO
256 N 2nd E,
Rexburg, ID 83440-1638
Ph: (208) 656-9646 |
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