Kurt R Peterson, MD - Medicare Family Medicine in Chisago City, MN

Kurt R Peterson, MD is a medicare enrolled "Family Medicine" physician in Chisago City, Minnesota. His current practice location is 11725 Stinson Ave, Chisago City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 257-8499.

Kurt R Peterson is licensed to practice in Minnesota (license number 29636) 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 1073565412.

Contact Information

Kurt R Peterson, MD
11725 Stinson Ave,
Chisago City, MN 55013-9542
(651) 257-8499
Not Available

Map and Direction




Physician's Profile

Full NameKurt R Peterson
GenderMale
SpecialityFamily Medicine
Location11725 Stinson Ave, Chisago City, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073565412
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 06/16/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0244247203
  • Enrollment ID: I20060315000717

Medical Identifiers

Medical identifiers for Kurt R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073565412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29636 (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. Kurt R Peterson allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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. Kurt R 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
Kurt R Peterson, MD
5200 Fairview Blvd,
Wyoming, MN 55092-8013

Ph: () -
Kurt R Peterson, MD
11725 Stinson Ave,
Chisago City, MN 55013-9542

Ph: (651) 257-8499

Reviews and Comments


Family Medicine Doctors in Chisago City, MN

Terry W Kopp, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Thomas Paul Gustafson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Robert Paul Post, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Nancy L Alexis, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    
Dr. Courtney Leigh Moore, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 855-324-7843    
Amy Christopherson Anderson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11725 Stinson Ave, Chisago City, MN 55013
Phone: 651-257-8499    

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.