Dr Matthew Jon Peterson, MD is a medicare enrolled "Urology" physician in Alexandria, Minnesota. He went to University Of Minnesota Medical School and graduated in 2020 and has 5 years of diverse experience with area of expertise as Urology. His current practice location is
111 17th Ave E, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 763-2707.
Dr Matthew Jon Peterson is licensed to practice in Minnesota (license number 79148) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164041505.
Physician's Profile
| Full Name | Dr Matthew Jon Peterson |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 5 Years |
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| Location | 111 17th Ave E, Alexandria, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew Jon Peterson attended and graduated from University Of Minnesota Medical School in 2020
NPI Data:
- NPI Number: 1164041505
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 08/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587173703
- Enrollment ID: I20250530001584
Medical Identifiers
Medical identifiers for Dr Matthew Jon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164041505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 79148 (Minnesota) | Primary |
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 Matthew Jon 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 Matthew Jon Peterson, MD
610 30th Ave W,
Alexandria, MN 56308-3426
Ph: (320) 763-2540 | Dr Matthew Jon Peterson, MD
111 17th Ave E,
Alexandria, MN 56308-5273
Ph: (320) 763-2707 |
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