Dr Mark William Peterson, DO in Park City, UT

Dr Mark William Peterson, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Park City, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Avera Mckennan and his current practice location is 2200 Park Ave. Bldg. D Ste. 100, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 615-8822.

Dr Mark William Peterson is licensed to practice in Utah (license number 8743560-1204) 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 1326374562.

Contact Information

	Dr Mark William Peterson, DO
	2200 Park Ave. Bldg. D Ste. 100, Park City, UT 84060
	(435) 615-8822
	(435) 615-8823

Map and Direction

Physician's Profile

Full Name	Dr Mark William Peterson
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	2200 Park Ave. Bldg. D Ste. 100, Park City, Utah
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 William Peterson attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2009

NPI Data:

NPI Number: 1326374562
Provider Enumeration Date: 10/22/2009
Last Update Date: 02/18/2020

Medicare PECOS Information:

PECOS PAC ID: 8325291024
Enrollment ID: I20231113003429

Medical Identifiers

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

Identifier	Type	State	Issuer
1326374562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101018542 (Michigan)	Secondary
207Q00000X	Family Medicine	E7679 (Arkansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	5101018542 (Michigan)	Secondary
207QS0010X	Family Medicine - Sports Medicine	8743560-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Mckennan Hospital & University Health Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Mckennan	0345157103	848

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

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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 William 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 William Peterson, DO 101 Sun Meadow Dr, Centerton, AR 72719-9610 Ph: (479) 795-0426	Dr Mark William Peterson, DO 2200 Park Ave. Bldg. D Ste. 100, Park City, UT 84060 Ph: (435) 615-8822

Reviews and Comments

Family Medicine Doctors in Park City, UT

Dr. Joseph Ferriter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-649-1365
John Joseph Hanrahan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Maple Dr, Park City, UT 84098 Phone: 435-714-0715
Dr. Kenneth Alan Wolkoff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3065 Fawn Dr, Park City, UT 84098 Phone: 435-655-8212
Brian J Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098 Phone: 435-940-9400
Bradley Cris Cowley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7000
Dr. Spenser Reed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1790 Sun Peak Dr Ste A101, Park City, UT 84098 Phone: 435-645-0800
Stefani Jane Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-645-7768

Dr Mark William Peterson, DO - Medicare Family Practice in Park City, UT