Dr Michael Theodore Peterson, DO - Medicare Internal Medicine in Tafton, PA

  1. Home
  2. Internal Medicine
  3. PA
  4. Tafton
Dr Michael Theodore Peterson, DO is a medicare enrolled "Internal Medicine" physician in Tafton, Pennsylvania. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1989 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wayne Memorial Community Health Centers and his current practice location is 132 Manly Rd, Tafton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 226-2151.

Dr Michael Theodore Peterson is licensed to practice in Pennsylvania (license number OS-007805L) 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 1194768606.

Contact Information

Dr Michael Theodore Peterson, DO
132 Manly Rd,
Tafton, PA 18464-7829
(570) 226-2151
(570) 226-1861

Map and Direction




Physician's Profile

Full NameDr Michael Theodore Peterson
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location132 Manly Rd, Tafton, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Michael Theodore Peterson attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1989
  NPI Data:
  • NPI Number: 1194768606
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 05/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8022044585
  • Enrollment ID: I20050715000446

Medical Identifiers

Medical identifiers for Dr Michael Theodore Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194768606NPI-NPPES
PE744170OtherPAHIGHMARK BLUE SHIELD
003000OtherPAFIRST PRIORITY HEALTH
02042395OtherNYNY MEDICAL ASSISTANCE
0014151170001MedicaidPA
8873OtherPAGEISINGER HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS-007805L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Healthcare Of Ne Pa, LlcKingston, PAHome health agency
Personal Home Healthcare And HospiceDunmore, PAHome health agency
Interim Healthcare Services Of Ne Pa, Inc.Blakely, PAHome health agency
Traditional Home Health CareDunmore, PAHome health agency
Wayne Memorial HospitalHonesdale, PAHospital
Geisinger-community Medical CenterScranton, PAHospital
Regional Hospital Of ScrantonScranton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wayne Memorial Community Health Centers307259893721

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 Theodore Peterson allows following entities to bill medicare on his behalf.
Entity NameWayne Memorial Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952395121
PECOS PAC ID: 3072598937
Enrollment ID: O20040623001109

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 Theodore 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 AddressPractice Location Address
Dr Michael Theodore Peterson, DO
601 Park St,
Honesdale, PA 18431-1445

Ph: (570) 226-2151		Dr Michael Theodore Peterson, DO
132 Manly Rd,
Tafton, PA 18464-7829

Ph: (570) 226-2151

Reviews and Comments


Internal Medicine Doctors in Tafton, PA

Dr. Charles David Aronica, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 132 Manly Rd, Tafton, PA 18464
Phone: 570-226-2151    Fax: 570-226-1861
Neha Pancholy,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 132 Manly Rd, Tafton, PA 18464
Phone: 570-226-2151    Fax: 570-226-1861
Kevin Le, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 132 Manly Rd, Tafton, PA 18464
Phone: 570-226-2151    Fax: 570-226-1861

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.