Ms Michelle R Peterson, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Mineral Point, Wisconsin. Her current practice location is
856 Fair St, Mineral Point, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 987-5985.
Ms Michelle R Peterson is licensed to practice in Wisconsin (license number 2581-33) 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 1669481032.
Physician's Profile
| Full Name | Ms Michelle R Peterson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 856 Fair St, Mineral Point, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669481032
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810943602
- Enrollment ID: I20050324000555
Medical Identifiers
Medical identifiers for Ms Michelle R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669481032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 2581-033 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2581-33 (Wisconsin) | 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. Ms Michelle R Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Hospital Of Boscobel |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725 |
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| Entity Name | Prairie Du Chien Memorial Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619024197
PECOS PAC ID: 4981698537
Enrollment ID: O20040414001308 |
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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. Ms Michelle 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 Address | Practice Location Address |
|---|
Ms Michelle R Peterson, NP
856 Fair St,
Mineral Point, WI 53565-1409
Ph: (608) 987-5985 | Ms Michelle R Peterson, NP
856 Fair St,
Mineral Point, WI 53565-1409
Ph: (608) 987-5985 |
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