Jerald Miles Petersen, MD - Hospitalist in Mount Horeb, WI

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Jerald Miles Petersen, MD is a Hospitalist physician based in Mount Horeb, Wisconsin. Jerald Miles Petersen is licensed to practice in Wisconsin (license number 64866) and his current practice location is 1275 Lindokken Rd Ste 315, Mount Horeb, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (000) 000-0000.

NPI number for Jerald Miles Petersen is 1649209032 and his current mailing address is 1275 Lindokken Rd, Mount Horeb, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649209032.

Contact Information

Jerald Miles Petersen, MD
1275 Lindokken Rd Ste 315,
Mount Horeb, WI 53572-9701
(000) 000-0000
Not Available

Map and Direction




Physician's Profile

Full NameJerald Miles Petersen
GenderMale
SpecialityHospitalist
Location1275 Lindokken Rd Ste 315, Mount Horeb, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649209032
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 02/13/2022

Medical Identifiers

Medical identifiers for Jerald Miles Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649209032NPI-NPPES
732880000MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 64866 (Wisconsin)Primary

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. Jerald Miles Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerald Miles Petersen, MD
1275 Lindokken Rd,
Mount Horeb, WI 53572-9701

Ph: () -		Jerald Miles Petersen, MD
1275 Lindokken Rd Ste 315,
Mount Horeb, WI 53572-9701

Ph: (000) 000-0000

Reviews and Comments


Hospitalist Doctors in Mount Horeb, WI


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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.

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