Dr Thomas Michael Peterson, MD in Grand Forks, ND - Medicare Psychiatry & Neurology

Dr Thomas Michael Peterson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Grand Forks, North Dakota. His current practice location is 4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 205-3000.

Dr Thomas Michael Peterson is licensed to practice in North Dakota (license number 6217) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639131014.

Contact Information

	Dr Thomas Michael Peterson, MD
	4700 S Washington St Ste G, Grand Forks, ND 58201-8123
	(701) 205-3000
	(701) 732-2501

Map and Direction

Physician's Profile

Full Name	Dr Thomas Michael Peterson
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	4700 S Washington St Ste G, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639131014
Provider Enumeration Date: 04/03/2006
Last Update Date: 01/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7911809843
Enrollment ID: I20110122000068

Medical Identifiers

Medical identifiers for Dr Thomas Michael Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639131014	NPI	-	NPPES
17392	Medicaid	ND
878583000	Medicaid	MN
12325	Other	ND	ND BC/BS
1460891	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	6217 (North Dakota)	Primary

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 Thomas Michael Peterson allows following entities to bill medicare on his behalf.

Entity Name	Peterson Medical Clinics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20170828003640

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 Thomas Michael 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 Thomas Michael Peterson, MD Po Box 5210, Grand Forks, ND 58206-5210 Ph: (701) 205-3000	Dr Thomas Michael Peterson, MD 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 Ph: (701) 205-3000

Reviews and Comments

Psychiatry & Neurology Doctors in Grand Forks, ND

Dr. Matthew Joseph Roller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Timothy A Peterson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501
Dr. William Benjamin Pryatel Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-253-3999
Kathryn M. Tevington, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050
Dr. Rose J. Julius, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Health System, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-3472
Dr. Kenneth Chidi Asogwa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 860 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6697 Fax: 701-780-1507
Jinal Desai, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Altru Health System, 1200 South Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477

Dr Thomas Michael Peterson, MD - Medicare Psychiatry & Neurology in Grand Forks, ND