Dr Jeffrey Allen Peterson, MD is a
Family Medicine physician based in Ada, Minnesota. Dr Jeffrey Allen Peterson is licensed to practice in Minnesota (license number 37670) and his current practice location is 201 9th St W, Ada, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 784-5000.
NPI number for Dr Jeffrey Allen Peterson is 1487734901 and his current mailing address is 201 9th St W, Ada, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487734901.
Physician's Profile
| Full Name | Dr Jeffrey Allen Peterson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 201 9th St W, Ada, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487734901
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Jeffrey Allen Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487734901 | NPI | - | NPPES |
| 37670 | Other | MN | MN STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 37670 (Minnesota) | Primary |
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 Jeffrey Allen Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeffrey Allen Peterson, MD
201 9th St W,
Ada, MN 56510-1243
Ph: (218) 784-5000 | Dr Jeffrey Allen Peterson, MD
201 9th St W,
Ada, MN 56510-1243
Ph: (218) 784-5000 |
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