Dr Michael D Peters, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Maple Grove, Minnesota. He went to State University Of New York Downstate Medical Center and graduated in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Coastal Carolina Ent Do Pa, Coastal Carolina Ent Do Pa and his current practice location is
9825 Hospital Dr, Suite Ll-10, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 339-2836.
Dr Michael D Peters is licensed to practice in Minnesota (license number 44049) 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 1194775429.
Physician's Profile
| Full Name | Dr Michael D Peters |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 28 Years |
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| Location | 9825 Hospital Dr, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael D Peters attended and graduated from State University Of New York Downstate Medical Center in 1996
NPI Data:
- NPI Number: 1194775429
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 10/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 0042106650
- Enrollment ID: I20060616000002
Medical Identifiers
Medical identifiers for Dr Michael D Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194775429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 44049 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coastal Carolina Ent Do Pa | 8325082498 | 5 |
| Coastal Carolina Ent Do Pa | 8325082498 | 5 |
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 Michael D Peters allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Carolina Ent Do Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386989028
PECOS PAC ID: 8325082498
Enrollment ID: O20130219000386 |
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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 Michael D Peters 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 |
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Dr Michael D Peters, MD
9825 Hospital Dr, Suite Ll-10,
Maple Grove, MN 55369-4479
Ph: (612) 339-2836 | Dr Michael D Peters, MD
9825 Hospital Dr, Suite Ll-10,
Maple Grove, MN 55369-4479
Ph: (612) 339-2836 |
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