Lance Petersen, MD in Powell, WY - Medicare Family Practice

Lance Petersen, MD is a medicare enrolled "Family Medicine" physician in Powell, Wyoming. He graduated from medical school in 1995 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Hospital Of Devils Lake and his current practice location is 777 Avenue H, Powell, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 754-2267.

Lance Petersen is licensed to practice in Washington (license number MD00035749) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245303429.

Contact Information

	Lance Petersen, MD
	777 Avenue H, Powell, WY 82435-2260
	(307) 754-2267
	(307) 754-7747

Map and Direction

Physician's Profile

Full Name	Lance Petersen
Gender	Male
Speciality	Family Practice
Experience	31 Years
Location	777 Avenue H, Powell, Wyoming
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lance Petersen graduated from medical school in 1995

NPI Data:

NPI Number: 1245303429
Provider Enumeration Date: 11/16/2006
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 3072401959
Enrollment ID: I20241012000253

Medical Identifiers

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

Identifier	Type	State	Issuer
1245303429	NPI	-	NPPES
8232787	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	8006A (Wyoming)	Secondary
207Q00000X	Family Medicine	MD00035749 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi St Alexius Health Devils Lake	Devils lake, ND	Hospital
Chi St Alexius Health Dickinson	Dickinson, ND	Hospital
Jamestown Regional Medical Center	Jamestown, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Hospital Of Devils Lake	9537128681	10

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. Lance Petersen allows following entities to bill medicare on his behalf.

Entity Name	St. Joseph's Hospital And Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651

Entity Name	Mercy Hospital Of Devils Lake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790751170 PECOS PAC ID: 9537128681 Enrollment ID: O20041005001141

Entity Name	Mercy Hospital Of Devils Lake
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1659343093 PECOS PAC ID: 9537128681 Enrollment ID: O20070521000292

Entity Name	St. Joseph's Hospital And Health Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1992947956 PECOS PAC ID: 0547177560 Enrollment ID: O20090429000122

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. Lance 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
Lance Petersen, MD 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267	Lance Petersen, MD 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267

Reviews and Comments

Family Medicine Doctors in Powell, WY

Dr. Dean Wayne Bartholomew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 250 N Evarts St, Powell, WY 82435 Phone: 307-764-3721 Fax: 307-764-1865
Kelly E Christensen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217
Elizabeth L Spomer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217
Robert Chandler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217
Dr. Charles O. Lambiotte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267
Sarah Elizabeth Durney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 Fax: 307-754-1226
Dr. Sarah Louise Sowerwine, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 E 7th St, Powell, WY 82435 Phone: 307-764-4107

Lance Petersen, MD - Medicare Family Practice in Powell, WY