Jeffrey J Peterson, MD in St Paul, MN - Medicare Emergency Medicine

Jeffrey J Peterson, MD is a medicare enrolled "Emergency Medicine" physician in St Paul, Minnesota. His current practice location is 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 220-6914.

Jeffrey J Peterson is licensed to practice in Minnesota (license number 39849) 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 1497832513.

Contact Information

	Jeffrey J Peterson, MD
	345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102
	(651) 220-6914
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeffrey J Peterson
Gender	Male
Speciality	Emergency Medicine
Location	345 North Smith Avenue, St Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497832513
Provider Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1355660705
Enrollment ID: I20150506000787

Medical Identifiers

Medical identifiers for Jeffrey J Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497832513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	39849 (Minnesota)	Primary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	39849 (Minnesota)	Secondary
208000000X	Pediatrics	39849 (Minnesota)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	39849 (Minnesota)	Secondary

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. Jeffrey J Peterson allows following entities to bill medicare on his behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Jeffrey J 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
Jeffrey J Peterson, MD 2910 Centre Pointe Drive, Childrens Health Care 35 121a, Roseville, MN 55113 Ph: (651) 855-2327	Jeffrey J Peterson, MD 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102 Ph: (651) 220-6914

Reviews and Comments

Emergency Medicine Doctors in St Paul, MN

Felix K Ankel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Ralph J Frascone, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Peter Kumasaka, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Kellee A Street, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102 Phone: 651-220-6914
Michael D Zwank, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216
Donna M Milner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Emergency Physicians, St Paul, MN 55102 Phone: 651-220-6914
Barbara C Letourneau, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216

Jeffrey J Peterson, MD - Medicare Emergency Medicine in St Paul, MN