Dr Snow Petersen, MD, MPH is a medicare enrolled "Surgery" physician in Grants, New Mexico. She went to Tulane University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Cibola General Hospital Corporation and her current practice location is
1423 E Roosevelt Ave, Grants, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 287-6500.
Dr Snow Petersen is licensed to practice in New Mexico (license number MD2020-0634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487949616.
Physician's Profile
| Full Name | Dr Snow Petersen |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 14 Years |
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| Location | 1423 E Roosevelt Ave, Grants, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Snow Petersen attended and graduated from Tulane University School Of Medicine in 2011
NPI Data:
- NPI Number: 1487949616
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466676572
- Enrollment ID: I20200825003395
Medical Identifiers
Medical identifiers for Dr Snow Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487949616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MD2020-0634 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cibola General Hospital Corporation | 7113935891 | 62 |
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 Snow Petersen allows following entities to bill medicare on her behalf.
| Entity Name | Cibola General Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
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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 Snow Petersen 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 Snow Petersen, MD, MPH 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 287-6500 | Dr Snow Petersen, MD, MPH 1423 E Roosevelt Ave, Grants, NM 87020-2245 Ph: (505) 287-6500 |
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