Dr Paul Charles Peterson, MD in Saint Cloud, MN

Dr Paul Charles Peterson, MD is a medicare enrolled "Psychiatry & Neurology - Vascular Neurology" physician in Saint Cloud, Minnesota. He went to University Of Texas Medical Branch At Galveston and graduated in 1995 and has 31 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Intermountain Medical Group Grand Junction, Llc, Centracare Clinic, St. Luke's Hospital Of Duluth and his current practice location is 1200 6th Ave N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 255-7891.

Dr Paul Charles Peterson is licensed to practice in Minnesota (license number 64851) 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 1902805518.

Contact Information

	Dr Paul Charles Peterson, MD
	1200 6th Ave N, Saint Cloud, MN 56303-2735
	(320) 255-7891
	(320) 255-5882

Map and Direction

Physician's Profile

Full Name	Dr Paul Charles Peterson
Gender	Male
Speciality	Neurology
Experience	31 Years
Location	1200 6th Ave N, Saint Cloud, Minnesota
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 Paul Charles Peterson attended and graduated from University Of Texas Medical Branch At Galveston in 1995

NPI Data:

NPI Number: 1902805518
Provider Enumeration Date: 07/15/2005
Last Update Date: 04/23/2020

Medicare PECOS Information:

PECOS PAC ID: 2668453564
Enrollment ID: I20230207002647

Medical Identifiers

Medical identifiers for Dr Paul Charles Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902805518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	200300395 (North Carolina)	Secondary
2084S0012X	Psychiatry & Neurology - Sleep Medicine	200300395 (North Carolina)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	200300395 (North Carolina)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	64851 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Cloud Hospital	Saint cloud, MN	Hospital
St Lukes Hospital	Duluth, MN	Hospital
St Marys Medical Center	Grand junction, CO	Hospital
Carris Health Llc	Willmar, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Medical Group Grand Junction, Llc	3779707856	296
Centracare Clinic	2466363395	748
St. Luke's Hospital Of Duluth	7113834839	416

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 Paul Charles Peterson allows following entities to bill medicare on his behalf.

Entity Name	Intermountain Medical Group Grand Junction, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363

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 Paul Charles 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 Paul Charles Peterson, MD 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 255-7891	Dr Paul Charles Peterson, MD 1200 6th Ave N, Saint Cloud, MN 56303-2735 Ph: (320) 255-7891

Reviews and Comments

Psychiatry & Neurology Doctors in Saint Cloud, MN

Elizabeth Rende, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Dr. Kurt Lawrence Fox, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6378
Dale Robert Anderson, MS CPRP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301 Phone: 320-240-3324 Fax: 320-240-3339
Leah Ann Thronaum, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-240-2829 Fax: 320-240-2830
Dr. Sherrie Lynn Herendeen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480
Pushp Raj Kapoor, MD, MRCPI Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-240-2829
Heidi Ann Lundeen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109

Dr Paul Charles Peterson, MD - Medicare Neurology in Saint Cloud, MN