Dr Mark Gordon Peterson, MD - Medicare Family Medicine in Winslow, AZ

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Dr Mark Gordon Peterson, MD is a medicare enrolled "Family Medicine" physician in Winslow, Arizona. His current practice location is 500 Indiana Ave, Winslow, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 289-4646.

Dr Mark Gordon Peterson is licensed to practice in Alaska (license number 2304) 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 1629129168.

Contact Information

Dr Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169
(928) 289-4646
(928) 289-6229

Map and Direction




Physician's Profile

Full NameDr Mark Gordon Peterson
GenderMale
SpecialityFamily Medicine
Location500 Indiana Ave, Winslow, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629129168
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 05/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466469341
  • Enrollment ID: I20060317000296

Medical Identifiers

Medical identifiers for Dr Mark Gordon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629129168NPI-NPPES
MD28841MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2304 (Alaska)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 Mark Gordon Peterson allows following entities to bill medicare on his behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961

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 Mark Gordon 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 AddressPractice Location Address
Dr Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169

Ph: (928) 289-4646		Dr Mark Gordon Peterson, MD
500 Indiana Ave,
Winslow, AZ 86047-2169

Ph: (928) 289-4646

Reviews and Comments


Family Medicine Doctors in Winslow, AZ

James Edward Page, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Lee St, Winslow, AZ 86047
Phone: 928-289-3396    Fax: 928-289-2801
Francis B Armao, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    Fax: 928-289-6290
Dr. Regina Elizabeth Ross, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    
Salvador T Lee Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 E Third St, Winslow, AZ 86047
Phone: 928-289-3345    Fax: 928-289-3760
Ms. Charlene Yvonne Clements, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 928-289-4646    
Thomas E Greenwood, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 East Lee Street, Winslow, AZ 86047
Phone: 928-289-3396    Fax: 928-289-2801
Sage White, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Indiana Ave, Winslow, AZ 86047
Phone: 289-289-4646    Fax: 928-289-8140

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.