Peter Donald Sershon, MD in Saint Paul, MN

Peter Donald Sershon, MD is a medicare enrolled "Urology" physician in Saint Paul, Minnesota. He went to University Of Toledo College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Blount Memorial Physician Group Inc and his current practice location is 360 Sherman St, Suite 450, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 999-6800.

Peter Donald Sershon is licensed to practice in Minnesota (license number 33642) 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 1104813138.

Contact Information

	Peter Donald Sershon, MD
	360 Sherman St, Suite 450, Saint Paul, MN 55102-2564
	(651) 999-6800
	(651) 999-6810

Map and Direction

Physician's Profile

Full Name	Peter Donald Sershon
Gender	Male
Speciality	Urology
Experience	35 Years
Location	360 Sherman St, Saint Paul, Minnesota
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:

Peter Donald Sershon attended and graduated from University Of Toledo College Of Medicine in 1989

NPI Data:

NPI Number: 1104813138
Provider Enumeration Date: 10/04/2005
Last Update Date: 09/10/2013

Medicare PECOS Information:

PECOS PAC ID: 0244314268
Enrollment ID: I20200423000864

Medical Identifiers

Medical identifiers for Peter Donald Sershon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104813138	NPI	-	NPPES
565205700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	33642 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blount Memorial Hospital	Maryville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blount Memorial Physician Group Inc	6406844174	242

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. Peter Donald Sershon allows following entities to bill medicare on his behalf.

Entity Name	Blount Memorial Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547

Entity Name	Tennessee Urology Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669416442 PECOS PAC ID: 7618952706 Enrollment ID: O20040622001531

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. Peter Donald Sershon 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
Peter Donald Sershon, MD 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800	Peter Donald Sershon, MD 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 Ph: (651) 999-6800

Reviews and Comments

Urology Doctors in Saint Paul, MN

Michael Howard Wipf, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910
Dr. Joshua Lane Woelk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 Phone: 651-241-9700 Fax: 651-241-9678
Michael Lee Pergament, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910
Walter Paul Gleich, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6808
Robert David Fisher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910
Jesse Jacobs, Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-8500

Peter Donald Sershon, MD - Medicare Urology in Saint Paul, MN