Dr David Sigurd Petersen, MD in Moline, IL

Dr David Sigurd Petersen, MD is a medicare enrolled "Urology" physician in Moline, Illinois. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urological Associates Pc, Urological Associates Pc and his current practice location is 2121 1st Street A, Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 764-9790.

Dr David Sigurd Petersen is licensed to practice in Illinois (license number 036055984) 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 1821145590.

Contact Information

	Dr David Sigurd Petersen, MD
	2121 1st Street A, Moline, IL 61265-7745
	(309) 764-9790
	(309) 526-8995

Map and Direction

Physician's Profile

Full Name	Dr David Sigurd Petersen
Gender	Male
Speciality	Urology
Experience	55 Years
Location	2121 1st Street A, Moline, Illinois
Accepts Medicare Assignments	Yes. 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 Sigurd Petersen attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1969

NPI Data:

NPI Number: 1821145590
Provider Enumeration Date: 01/04/2007
Last Update Date: 09/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1658331350
Enrollment ID: I20110222001207

Medical Identifiers

Medical identifiers for Dr David Sigurd Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821145590	NPI	-	NPPES
036055984	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	036055984 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Hlth System Dba Genesis Mdl Ctr-illini	Silvis, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urological Associates Pc	7618866815	16
Urological Associates Pc	7618866815	16

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 Sigurd Petersen allows following entities to bill medicare on his behalf.

Entity Name	Urological Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346229192 PECOS PAC ID: 7618866815 Enrollment ID: O20051202000161

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 Sigurd 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 Address	Practice Location Address
Dr David Sigurd Petersen, MD 2121 1st Street A, Moline, IL 61265-7745 Ph: (309) 764-9790	Dr David Sigurd Petersen, MD 2121 1st Street A, Moline, IL 61265-7745 Ph: (309) 764-9790

Reviews and Comments

Urology Doctors in Moline, IL

Dr. Roger L Lubbers, MD Urology Medicare: Medicare Enrolled Practice Location: 608 35th Ave, Moline, IL 61265 Phone: 309-277-3500 Fax: 309-277-3050
Dr. Brian P Engebrecht, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 608 35th Ave, Moline, IL 61265 Phone: 309-277-3500 Fax: 309-277-3050
Dr. Morris J Gist, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 608 35th Ave, Moline, IL 61265 Phone: 309-277-3500 Fax: 309-277-3050

Dr David Sigurd Petersen, MD - Medicare Urology in Moline, IL