Kellsey Peterson, MD - Medicare Cardiovascular Disease (cardiology) in Detroit, MI

Kellsey Peterson, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Detroit, Michigan. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Henry Ford Medical Group and her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 653-6568.

Kellsey Peterson is licensed to practice in Michigan (license number 4301506898) 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 1487008983.

Contact Information

Kellsey Peterson, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608
(800) 653-6568
(313) 876-1305

Map and Direction




Physician's Profile

Full NameKellsey Peterson
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience8 Years
Location2799 W Grand Blvd, Detroit, Michigan
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:
  • Kellsey Peterson graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1487008983
  • Provider Enumeration Date: 04/20/2016
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577808336
  • Enrollment ID: I20220624000650

Medical Identifiers

Medical identifiers for Kellsey Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487008983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 303757 (New York)Secondary
207R00000XInternal Medicine 4301506898 (Michigan)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 4301506898 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital
Henry Ford HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112095

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. Kellsey Peterson allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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. Kellsey 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
Kellsey Peterson, MD
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (313) 874-4806
Kellsey Peterson, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (800) 653-6568

Reviews and Comments


Internal Medicine Doctors in Detroit, MI

Dr. Saba Alan Francis, M.D.
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Avi Cohen, M.D.
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Waleed Obaid, M.D
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Lindsey Aurora,
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Alexander Garbarino,
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Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Maria Diab,
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Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    Fax: 313-876-1305

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.