Dr Elizabeth Michael Peterson, MD in Beaver Dam, WI

Dr Elizabeth Michael Peterson, MD is a medicare enrolled "Pediatrics" physician in Beaver Dam, Wisconsin. Her current practice location is 109 Warren St, Suite 4, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 885-3305.

Dr Elizabeth Michael Peterson is licensed to practice in Wisconsin (license number 46524-020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417958026.

Contact Information

	Dr Elizabeth Michael Peterson, MD
	109 Warren St, Suite 4, Beaver Dam, WI 53916-3082
	(920) 885-3305
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elizabeth Michael Peterson
Gender	Female
Speciality	Pediatrics
Location	109 Warren St, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417958026
Provider Enumeration Date: 08/04/2005
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5799712477
Enrollment ID: I20050726000206

Medical Identifiers

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

Identifier	Type	State	Issuer
1417958026	NPI	-	NPPES
34638800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	46524-020 (Wisconsin)	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 Elizabeth Michael Peterson allows following entities to bill medicare on her behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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 Elizabeth Michael 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 Elizabeth Michael Peterson, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Dr Elizabeth Michael Peterson, MD 109 Warren St, Suite 4, Beaver Dam, WI 53916-3082 Ph: (920) 885-3305

Reviews and Comments

Pediatrics Doctors in Beaver Dam, WI

Dr. Jessica L Miesfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 109 Warren St, Ste 4, Beaver Dam, WI 53916 Phone: 920-885-3305 Fax: 920-885-5506
Jay M Miesfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 109 Warren St Ste 4, Beaver Dam, WI 53916 Phone: 920-885-3305 Fax: 920-885-5506
Serena Wagoner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 705 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-9272

Dr Elizabeth Michael Peterson, MD - Medicare Pediatrics in Beaver Dam, WI