Kristin Lb Peterson, MD in St. Paul, MN

Kristin Lb Peterson, MD is a medicare enrolled "Pediatrics" physician in St. Paul, Minnesota. Her current practice location is Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 220-6789.

Kristin Lb Peterson is licensed to practice in Minnesota (license number 42034) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124029756.

Contact Information

	Kristin Lb Peterson, MD
	Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, MN 55102
	(651) 220-6789
	(651) 220-6807

Map and Direction

Physician's Profile

Full Name	Kristin Lb Peterson
Gender	Female
Speciality	Pediatrics
Location	Children's Primary Clinic - Stpl, St. Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124029756
Provider Enumeration Date: 08/04/2005
Last Update Date: 09/04/2012

Medicare PECOS Information:

PECOS PAC ID: 2567416175
Enrollment ID: I20050308000042

Medical Identifiers

Medical identifiers for Kristin Lb Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124029756	NPI	-	NPPES
400042100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	42034 (Minnesota)	Primary

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. Kristin Lb Peterson allows following entities to bill medicare on her behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Kristin Lb 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
Kristin Lb Peterson, MD Children's Health Care, 2910 Centre Pointe Drive 35-121a, Roseville, MN 55113 Ph: (651) 855-2327	Kristin Lb Peterson, MD Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, MN 55102 Ph: (651) 220-6789

Reviews and Comments

Pediatrics Doctors in St. Paul, MN

Carrie Leigh Pettey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Avenue 302, Childrens Primary Clinic Stpl, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807
Philip A Gasseling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, St. Paul, MN 55108 Phone: 952-853-8800 Fax: 651-641-6205
Jennifer C Koziol Wozniak, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564
Debra A Weimerskirch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Children's Hospitals And Clinics Emergency Physicians, St. Paul, MN 55102 Phone: 651-220-6914 Fax: 651-220-6999
Rachel Sarah Darling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673
Calley A. Lidle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 233 Grand Avenue, St. Paul, MN 55102 Phone: 651-227-7806 Fax: 651-256-6707

Kristin Lb Peterson, MD - Medicare Pediatrics in St. Paul, MN