Kristin Lb Peterson, MD - Medicare Pediatrics 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 NameKristin Lb Peterson
GenderFemale
SpecialityPediatrics
LocationChildren's Primary Clinic - Stpl, St. Paul, Minnesota
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1124029756NPI-NPPES
400042100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameChildren's Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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.