Dr Mark W Peterson, MD in Lewiston, ID - Medicare Diagnostic Radiology

Dr Mark W Peterson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Lewiston, Idaho. He went to Columbia University College Of Physicians And Surgeons and graduated in 1983 and has 41 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tri-state Memorial Hospital and his current practice location is 415 6th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 799-5335.

Dr Mark W Peterson is licensed to practice in Idaho (license number M5240) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356312524.

Contact Information

	Dr Mark W Peterson, MD
	415 6th St, Lewiston, ID 83501-2431
	(208) 799-5335
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark W Peterson
Gender	Male
Speciality	Diagnostic Radiology
Experience	41 Years
Location	415 6th St, Lewiston, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mark W Peterson attended and graduated from Columbia University College Of Physicians And Surgeons in 1983

NPI Data:

NPI Number: 1356312524
Provider Enumeration Date: 01/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830092857
Enrollment ID: I20040812001408

Medical Identifiers

Medical identifiers for Dr Mark W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356312524	NPI	-	NPPES
P00165374	Other		RAILROAD MEDICARE
0192980	Other	WA	LABOR & INDUSTRIES
000010005909	Other	ID	REGENCE BS OF IDAHO
71498	Other	ID	BLUE CROSS OF IDAHO
8156473	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M5240 (Idaho)	Primary
2085R0204X	Radiology - Vascular & Interventional Radiology	M5240 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tri-state Memorial Hospital	Clarkston, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri-state Memorial Hospital	4082502422	32

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 W Peterson allows following entities to bill medicare on his behalf.

Entity Name	Tri-state Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123

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 W 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 Mark W Peterson, MD 531 4th Ave, Lewiston, ID 83501-2450 Ph: (208) 743-4393	Dr Mark W Peterson, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 799-5335

Reviews and Comments

Radiology Doctors in Lewiston, ID

Dr. John W. Ho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445
Dr. Khadijeh S. Zarkoob, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600
Dr. Michael Todd Burtis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 531 4th Ave, Lewiston, ID 83501 Phone: 208-743-4393
Norman Robert Willis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 504 6th St, Lewiston, ID 83501 Phone: 208-799-5600 Fax: 208-799-5755
Dr. Gregory Robert Spurling, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 531 4th Ave, Lewiston, ID 83501 Phone: 208-743-4393
Dr. Michael E Bell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5335

Dr Mark W Peterson, MD - Medicare Diagnostic Radiology in Lewiston, ID