Jennifer C Peterson, MD - Medicare Pediatrics in Flagstaff, AZ

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Jennifer C Peterson, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Flagstaff, Arizona. Her current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 213-6235.

Jennifer C Peterson is licensed to practice in Arizona (license number 71077) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154586071.

Contact Information

Jennifer C Peterson, MD
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 213-6235
Not Available

Map and Direction




Physician's Profile

Full NameJennifer C Peterson
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154586071
  • Provider Enumeration Date: 07/21/2008
  • Last Update Date: 06/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648497347
  • Enrollment ID: I20150914001407

Medical Identifiers

Medical identifiers for Jennifer C Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154586071NPI-NPPES
81315MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 13205 (North Dakota)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 075484 (Georgia)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 53734 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 71077 (Arizona)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. Jennifer C Peterson allows following entities to bill medicare on her behalf.
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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. Jennifer C 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
Jennifer C Peterson, MD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Jennifer C Peterson, MD
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 213-6235

Reviews and Comments


Pediatrics Doctors in Flagstaff, AZ

Dr. Sean Daniel Woods, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2112    
James Wallace Mathewson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1330 N Rim Dr, Suite A, Flagstaff, AZ 86001
Phone: 928-779-7014    
Barbara L. Bosch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001
Phone: 928-214-3600    Fax: 928-214-3601
Lee B Mcgarey, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001
Phone: 928-214-3600    Fax: 928-214-3601
Mark F Carroll, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1215 N Beaver St, Suite 201, Flagstaff, AZ 86001
Phone: 928-214-3920    Fax: 928-214-3924
Dr. Julia Beth Eskuchen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2920 N 4th St, Flagstaff, AZ 86004
Phone: 928-213-6100    Fax: 928-213-9351

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.