Dr David B Petersen, MD - Medicare Ophthalmology in Salt Lake City, UT

Dr David B Petersen, MD is a medicare enrolled "Ophthalmology" physician in Salt Lake City, Utah. He went to Washington University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Rocky Mtn Eye Care Associates Lc and his current practice location is 4400 So 700 E, 100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 264-4450.

Dr David B Petersen is licensed to practice in Utah (license number 52616771205) 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 1851482202.

Contact Information

Dr David B Petersen, MD
4400 So 700 E, 100,
Salt Lake City, UT 84107
(801) 264-4450
(801) 264-4409

Map and Direction




Physician's Profile

Full NameDr David B Petersen
GenderMale
SpecialityOphthalmology
Experience26 Years
Location4400 So 700 E, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David B Petersen attended and graduated from Washington University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1851482202
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7012926454
  • Enrollment ID: I20101027000033

Medical Identifiers

Medical identifiers for Dr David B Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851482202NPI-NPPES
870544230002MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 52616771205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Medical CenterMurray, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rocky Mtn Eye Care Associates Lc63058785396

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 David B Petersen allows following entities to bill medicare on his behalf.
Entity NameRocky Mtn Eye Care Associates Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538163936
PECOS PAC ID: 6305878539
Enrollment ID: O20050908000320

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 David 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
Dr David B Petersen, MD
4400 South 700 E, 100,
Salt Lake City, UT 84107

Ph: (801) 264-4450
Dr David B Petersen, MD
4400 So 700 E, 100,
Salt Lake City, UT 84107

Ph: (801) 264-4450

Reviews and Comments


Ophthalmology Doctors in Salt Lake City, UT

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Marielle Payne Young, M.D.
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Phone: 801-281-2020    Fax: 801-487-3689
Gregory Sherman Brinton, MD
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Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107
Phone: 801-281-3030    Fax: 801-281-3033

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.