Dr Jon Fredrick Petersen, MD - Preventive Medicine in Decatur, IL

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Dr Jon Fredrick Petersen, MD is a Preventive Medicine - Occupational Medicine physician based in Decatur, Illinois. Dr Jon Fredrick Petersen is licensed to practice in Illinois (license number 036129728) and his current practice location is 1750 E Lake Shore Dr, Decatur, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 464-1440.

NPI number for Dr Jon Fredrick Petersen is 1285621516 and his current mailing address is 1750 E Lake Shore Dr, Decatur, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285621516.

Contact Information

Dr Jon Fredrick Petersen, MD
1750 E Lake Shore Dr,
Decatur, IL 62521-3803
(217) 464-1440
(217) 464-1469

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Physician's Profile

Full NameDr Jon Fredrick Petersen
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1750 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285621516
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 10/12/2016

Medical Identifiers

Medical identifiers for Dr Jon Fredrick Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285621516NPI-NPPES
250766OtherHEALTHLINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 036129728 (Illinois)Primary
207Q00000XFamily Medicine 036129728 (Illinois)Secondary

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 Jon Fredrick Petersen 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 AddressPractice Location Address
Dr Jon Fredrick Petersen, MD
1750 E Lake Shore Dr,
Decatur, IL 62521-3803

Ph: (217) 464-1440		Dr Jon Fredrick Petersen, MD
1750 E Lake Shore Dr,
Decatur, IL 62521-3803

Ph: (217) 464-1440

Reviews and Comments


Preventive Medicine Doctors in Decatur, IL

Adills Moosa, DO
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-1440    
Dr. Heather M O'hara, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2120 N 27th St, Decatur, IL 62526
Phone: 217-876-4600    

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.

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