Ellen Louise Peterson, MD - Medicare Internal Medicine in Indianapolis, IN

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Ellen Louise Peterson, MD is a medicare enrolled "Internal Medicine" physician in Indianapolis, Indiana. She went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2022 and has 4 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Fairview Health Services and her current practice location is 1120 W Michigan St # Cl630, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 278-2686.

Ellen Louise Peterson is licensed to practice in Minnesota (license number 79989) 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 1659013936.

Contact Information

Ellen Louise Peterson, MD
1120 W Michigan St # Cl630,
Indianapolis, IN 46202-5209
(317) 278-2686
Not Available

Map and Direction




Physician's Profile

Full NameEllen Louise Peterson
GenderFemale
SpecialityInternal Medicine
Experience4 Years
Location1120 W Michigan St # Cl630, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ellen Louise Peterson attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2022
  NPI Data:
  • NPI Number: 1659013936
  • Provider Enumeration Date: 04/08/2022
  • Last Update Date: 06/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5193104305
  • Enrollment ID: I20250725001114

Medical Identifiers

Medical identifiers for Ellen Louise Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659013936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 79989 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
M Health Fairview Southdale HospitalEdina, MNHospital
North Memorial Health - Robbinsdale HospitalRobbinsdale, MNHospital
M Health Fairview Ridges HospitalBurnsville, MNHospital
M Health Fairview Woodwinds HospitalWoodbury, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Health Services1951213057677

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. Ellen Louise Peterson allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507

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. Ellen Louise 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
Ellen Louise Peterson, MD
1120 W Michigan St # Cl630,
Indianapolis, IN 46202-5209

Ph: (317) 278-2686		Ellen Louise Peterson, MD
1120 W Michigan St # Cl630,
Indianapolis, IN 46202-5209

Ph: (317) 278-2686

Reviews and Comments


Internal Medicine Doctors in Indianapolis, IN

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Liam P Howley, MD
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Gretchen Suarez,
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Phone: 317-278-0042    Fax: 317-278-0027
Cristina Nancy Perez Chumbiauca, MD
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Zachary Jarrett, DO
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Dr. Omair Ahmad Syed, MD
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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.