Dr Michael Warren Peterson, DO - Medicare Dermatology in Spanish Fork, UT

Dr Michael Warren Peterson, DO is a medicare enrolled "Dermatology" physician in Spanish Fork, Utah. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Springville Dermatology And Diagnostics Pc, Arizona Desert Dermatology And Surgery Pc and his current practice location is 114 East 800 North, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 794-1490.

Dr Michael Warren Peterson is licensed to practice in Utah (license number 7247463-1204) 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 1770634909.

Contact Information

Dr Michael Warren Peterson, DO
114 East 800 North,
Spanish Fork, UT 84660
(801) 794-1490
(801) 794-1495

Map and Direction




Physician's Profile

Full NameDr Michael Warren Peterson
GenderMale
SpecialityDermatology
Experience24 Years
Location114 East 800 North, Spanish Fork, Utah
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 Warren Peterson graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1770634909
  • Provider Enumeration Date: 01/15/2007
  • Last Update Date: 04/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395915896
  • Enrollment ID: I20110818000689

Medical Identifiers

Medical identifiers for Dr Michael Warren Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770634909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 7247463-1204 (Utah)Primary
207N00000XDermatology 47784-021 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springville Dermatology And Diagnostics Pc59919304063
Arizona Desert Dermatology And Surgery Pc63057325129

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 Warren Peterson allows following entities to bill medicare on his behalf.
Entity NameSpringville Dermatology & Diagnostics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992144364
PECOS PAC ID: 5991930406
Enrollment ID: O20131107001821

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 Warren 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 Warren Peterson, DO
732 N Main St,
Springville, UT 84663-1034

Ph: (801) 704-7001
Dr Michael Warren Peterson, DO
114 East 800 North,
Spanish Fork, UT 84660

Ph: (801) 794-1490

Reviews and Comments


Dermatology Doctors in Spanish Fork, UT

Dr. Michael P Eyre,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 114 E 800 N, Spanish Fork, UT 84660
Phone: 801-794-1490    Fax: 801-794-1495
Dr. Warren Albert Peterson, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 78 East 900 North, Spanish Fork, UT 84660
Phone: 801-794-1490    
Meredith A. Gaufin, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 819 E Market Place Dr, Spanish Fork, UT 84660
Phone: 801-357-7280    
Dr. Chad Peterson, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 114 E 800 N, Spanish Fork, UT 84660
Phone: 801-794-1490    Fax: 801-794-1495

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.