Kimberly Petersen, in Perham, MN - Medicare Family Practice

Kimberly Petersen, is a medicare enrolled "Family Medicine" physician in Perham, Minnesota. She went to University Of Wisconsin School Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Perham Hospital District, Hennepin Healthcare System Inc and her current practice location is 1000 Coney St W, Perham, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 347-1200.

Kimberly Petersen is licensed to practice in Minnesota (license number 35969) 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 1043247877.

Contact Information

	Kimberly Petersen,
	1000 Coney St W, Perham, MN 56573-2102
	(218) 347-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Petersen
Gender	Female
Speciality	Family Practice
Experience	35 Years
Location	1000 Coney St W, Perham, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Petersen attended and graduated from University Of Wisconsin School Of Medicine in 1991

NPI Data:

NPI Number: 1043247877
Provider Enumeration Date: 06/27/2006
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2163619891
Enrollment ID: I20101207001376

Medical Identifiers

Medical identifiers for Kimberly Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043247877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35969 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Perham Health	Perham, MN	Hospital
Hennepin County Medical Center 1	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Perham Hospital District	2264327766	38
Hennepin Healthcare System Inc	4789684861	830

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. Kimberly Petersen allows following entities to bill medicare on her behalf.

Entity Name	Perham Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182

Entity Name	Perham Hospital District
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Kimberly Petersen 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
Kimberly Petersen, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Kimberly Petersen, 1000 Coney St W, Perham, MN 56573-2102 Ph: (218) 347-1200

Reviews and Comments

Family Medicine Doctors in Perham, MN

Amy Renee White Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Dr. Shelby Rae Bucholz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Dr. Marlee Irene Novak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Jeffrey L Blickenstaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 3rd St Sw, Perham, MN 56573 Phone: 218-346-4040 Fax: 218-346-4043
Timothy J Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Mark R Paulson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200

Kimberly Petersen, - Medicare Family Practice in Perham, MN