Dr Benjamin Evans Peterson, MD in Salt Lake City, UT

Dr Benjamin Evans Peterson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Salt Lake City, Utah. His current practice location is 5121 S Cottonwood St, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-4000.

Dr Benjamin Evans Peterson is licensed to practice in Utah (license number 14210673-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922341015.

Contact Information

	Dr Benjamin Evans Peterson, MD
	5121 S Cottonwood St, Salt Lake City, UT 84107-5701
	(801) 507-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Benjamin Evans Peterson
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	5121 S Cottonwood St, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922341015
Provider Enumeration Date: 03/27/2013
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9335497924
Enrollment ID: I20220908002264

Medical Identifiers

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

Identifier	Type	State	Issuer
1922341015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	56858 (Kentucky)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	14210673-1205 (Utah)	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. Dr Benjamin Evans Peterson allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151

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 Benjamin Evans 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 Benjamin Evans Peterson, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555	Dr Benjamin Evans Peterson, MD 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 Ph: (801) 507-4000

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr Benjamin Evans Peterson, MD - Medicare Internal Medicine in Salt Lake City, UT