Keith Hershel Peterson, MD in Duluth, MN - Medicare Internal Medicine

Keith Hershel Peterson, MD is a medicare enrolled "Internal Medicine" physician in Duluth, Minnesota. His current practice location is 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-4020.

Keith Hershel Peterson is licensed to practice in Minnesota (license number 49588) 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 1689718637.

Contact Information

	Keith Hershel Peterson, MD
	400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951
	(218) 786-4020
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Hershel Peterson
Gender	Male
Speciality	Internal Medicine
Location	400 E 3rd St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689718637
Provider Enumeration Date: 02/15/2007
Last Update Date: 12/02/2015

Medicare PECOS Information:

PECOS PAC ID: 9931275211
Enrollment ID: I20080910000551

Medical Identifiers

Medical identifiers for Keith Hershel Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689718637	NPI	-	NPPES
1689718637	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	49588 (Minnesota)	Primary
208000000X	Pediatrics	49588 (Minnesota)	Secondary
207R00000X	Internal Medicine	62724-20 (Wisconsin)	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. Keith Hershel Peterson allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

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. Keith Hershel 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
Keith Hershel Peterson, MD 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 Ph: (218) 786-4020	Keith Hershel Peterson, MD 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 Ph: (218) 786-4020

Reviews and Comments

Internal Medicine Doctors in Duluth, MN

Nizar Najib Saleh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Dr. Joseph J Martinelli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste P201, Duluth, MN 55805 Phone: 218-249-7970
Gina Marie Slipka-marinos, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Dr. Abdurrahman M Hamadah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Superior St Ste L201, Duluth, MN 55802 Phone: 218-249-5555
Sarah Jane Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Robert Dale Niedringhaus, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Thomas Edward Russ, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364

Keith Hershel Peterson, MD - Medicare Internal Medicine in Duluth, MN