Jessica L Peterson, MD - Medicare Family Practice in Little Chute, WI

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Jessica L Peterson, MD is a medicare enrolled "Family Medicine" physician in Little Chute, Wisconsin. She went to Michigan State University College Of Human Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and her current practice location is 200 Patriot Drive, Little Chute, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 687-2800.

Jessica L Peterson is licensed to practice in Wisconsin (license number 60292-20) 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 1538451307.

Contact Information

Jessica L Peterson, MD
200 Patriot Drive,
Little Chute, WI 54140
(920) 687-2800
Not Available

Map and Direction




Physician's Profile

Full NameJessica L Peterson
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location200 Patriot Drive, Little Chute, Wisconsin
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:
  • Jessica L Peterson attended and graduated from Michigan State University College Of Human Medicine in 2011
  NPI Data:
  • NPI Number: 1538451307
  • Provider Enumeration Date: 05/11/2011
  • Last Update Date: 11/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8921228594
  • Enrollment ID: I20141002000370

Medical Identifiers

Medical identifiers for Jessica L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538451307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 60292-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Compassus Green BayGreen bay, WIHospice
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420256

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. Jessica L Peterson allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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. Jessica L 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
Jessica L Peterson, MD
200 Patriot Drive,
Little Chute, WI 54140

Ph: (920) 687-2800		Jessica L Peterson, MD
200 Patriot Drive,
Little Chute, WI 54140

Ph: (920) 687-2800

Reviews and Comments


Family Medicine Doctors in Little Chute, WI

Jack R Meyer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 Patriot Dr, Little Chute, WI 54140
Phone: 920-687-2800    
Meena P Vir, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 Patriot Dr, Little Chute, WI 54140
Phone: 920-687-2800    Fax: 920-687-2839

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.