Mark Peterson, - Medicare Psychiatry & Neurology in Scott Depot, WV

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Mark Peterson, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Scott Depot, West Virginia. His current practice location is 111 Great Teays Blvd Ste 101, Scott Depot, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 757-8803.

Mark Peterson is licensed to practice in West Virginia (license number 30925) 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 1477043842.

Contact Information

Mark Peterson,
111 Great Teays Blvd Ste 101,
Scott Depot, WV 25560-9548
(304) 757-8803
(304) 757-6904

Map and Direction




Physician's Profile

Full NameMark Peterson
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location111 Great Teays Blvd Ste 101, Scott Depot, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477043842
  • Provider Enumeration Date: 05/11/2018
  • Last Update Date: 07/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557740883
  • Enrollment ID: I20220616002270

Medical Identifiers

Medical identifiers for Mark Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477043842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 30925 (West Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 30925 (West Virginia)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. Mark Peterson allows following entities to bill medicare on his behalf.
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1902962368
PECOS PAC ID: 9931017969
Enrollment ID: O20040325000411
Entity NameHhc River Park Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477622603
PECOS PAC ID: 2365478252
Enrollment ID: O20051206000168
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720333461
PECOS PAC ID: 9931017969
Enrollment ID: O20130319000031
Entity NameValley Health Systems, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1548542277
PECOS PAC ID: 9931017969
Enrollment ID: O20130415000484
Entity NameValley Health Systems, Inc
Entity TypePart A Provider - Federally Qualified Health Center (fqhc)
Entity IdentifiersNPI Number: 1881054476
PECOS PAC ID: 9931017969
Enrollment ID: O20160318000254

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. Mark 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
Mark Peterson,
Po Box 1680,
Huntington, WV 25717-1680

Ph: (304) 781-5159		Mark Peterson,
111 Great Teays Blvd Ste 101,
Scott Depot, WV 25560-9548

Ph: (304) 757-8803

Reviews and Comments


Psychiatry & Neurology Doctors in Scott Depot, WV

Sanjay Stanley Masilamani, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560
Phone: 304-757-6999    Fax: 304-201-5019

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.