James D Petersen, MD in Pocatello, ID - Medicare Family Practice

James D Petersen, MD is a medicare enrolled "Family Medicine" physician in Pocatello, Idaho. He went to University Of Washington School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Syringa General Hospital District C I F and his current practice location is 465 Memorial Dr, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 234-4700.

James D Petersen is licensed to practice in Idaho (license number MRM-2027) 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 1437724432.

Contact Information

	James D Petersen, MD
	465 Memorial Dr, Pocatello, ID 83201-4008
	(208) 234-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	James D Petersen
Gender	Male
Speciality	Family Practice
Experience	4 Years
Location	465 Memorial Dr, Pocatello, Idaho
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:

James D Petersen attended and graduated from University Of Washington School Of Medicine in 2021

NPI Data:

NPI Number: 1437724432
Provider Enumeration Date: 05/21/2021
Last Update Date: 05/24/2021

Medicare PECOS Information:

PECOS PAC ID: 3173925021
Enrollment ID: I20230124000710

Medical Identifiers

Medical identifiers for James D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437724432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MRM-2027 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Syringa General Hospital	Grangeville, ID	Hospital
St Joseph Regional Medical Center	Lewiston, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Syringa General Hospital District C I F	6800707530	18

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. James D Petersen allows following entities to bill medicare on his behalf.

Entity Name	Syringa General Hospital District C I F
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750336608 PECOS PAC ID: 6800707530 Enrollment ID: O20041008000778

Entity Name	Caribou Medical Center, Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20211021002404

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. James D 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
James D Petersen, MD 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 Ph: () -	James D Petersen, MD 465 Memorial Dr, Pocatello, ID 83201-4008 Ph: (208) 234-4700

Reviews and Comments

Family Medicine Doctors in Pocatello, ID

Shayna Larae Harding, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006
Cody E Patterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862
Shaylor Bringhurst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862
Dr. Sharla Clark, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009
Joseph Alfred Enfonde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-3264

James D Petersen, MD - Medicare Family Practice in Pocatello, ID