Dr Jonathan Richard Peterson, MD in Salt Lake City, UT

Dr Jonathan Richard Peterson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Salt Lake City, Utah. His current practice location is 24 S 1100 E Ste 101, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 355-6468.

Dr Jonathan Richard Peterson is licensed to practice in Utah (license number 6547620-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457705386.

Contact Information

	Dr Jonathan Richard Peterson, MD
	24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562
	(801) 355-6468
	(801) 355-3450

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Richard Peterson
Gender	Male
Speciality	Orthopaedic Surgery
Location	24 S 1100 E Ste 101, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457705386
Provider Enumeration Date: 04/18/2016
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2769775444
Enrollment ID: I20190612002666

Medical Identifiers

Medical identifiers for Dr Jonathan Richard Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457705386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	2019-00197 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207X00000X	Orthopaedic Surgery	6547620-1205 (Utah)	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 Jonathan Richard Peterson allows following entities to bill medicare on his behalf.

Entity Name	Doctors Making Housecalls Geriatric Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558501353 PECOS PAC ID: 5799837696 Enrollment ID: O20090806000708

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 Jonathan Richard 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 Jonathan Richard Peterson, MD 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 Ph: (801) 355-6468	Dr Jonathan Richard Peterson, MD 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 Ph: (801) 355-6468

Reviews and Comments

Orthopaedic Surgery Doctors in Salt Lake City, UT

Dr. Laura Ann Baker Lins, MD, MPH, ATC Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Kayla L. Gates, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429

Dr Jonathan Richard Peterson, MD - Medicare Orthopaedic Surgery in Salt Lake City, UT