Dr Matthew Shane Peterson, MD in Kennesaw, GA

Dr Matthew Shane Peterson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kennesaw, Georgia. His current practice location is 750 Townpark Ln Nw, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 365-0966.

Dr Matthew Shane Peterson is licensed to practice in Georgia (license number 85640) 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 1255319828.

Contact Information

	Dr Matthew Shane Peterson, MD
	750 Townpark Ln Nw, Kennesaw, GA 30144-5579
	(404) 365-0966
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Shane Peterson
Gender	Male
Speciality
Experience	Years
Location	750 Townpark Ln Nw, Kennesaw, Georgia
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 Matthew Shane Peterson attended and graduated from in

NPI Data:

NPI Number: 1255319828
Provider Enumeration Date: 01/04/2006
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Matthew Shane Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255319828	NPI	-	NPPES
89132R9	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	200200772 (North Carolina)	Secondary
207V00000X	Obstetrics & Gynecology	85640 (Georgia)	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 Shane 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 Shane Peterson, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 365-0966	Dr Matthew Shane Peterson, MD 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 365-0966

Reviews and Comments

Obstetrics & Gynecology Doctors in Kennesaw, GA

Dr. Halima Malkia Daboiko, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 750 Town Park Lane, Dept Of Ob/gyn, Kennesaw, GA 30144 Phone: 404-365-0966
Lanalee A Sam, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 404-365-0966
Mrs. Angela S Paas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1595 Kennesaw Due West Rd Nw Ste 100, Kennesaw, GA 30152 Phone: 470-308-3365 Fax: 770-627-5228
Jennifer G Rewis, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 750 Town Park Lane, Department Of Obstetrics & Gynecology, Kennesaw, GA 30144 Phone: 770-514-5401
Christopher Joseph Cadle, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Department Of Obstetrics & Gynecology, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5401
Barbara A Smith, CNP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 750 Town Park Lane, Department Of Obstetrics & Gynecology, Kennesaw, GA 30144 Phone: 770-514-5401

Dr Matthew Shane Peterson, MD - Medicare in Kennesaw, GA