Russell D Peterson, DO - Medicare Family Practice in Roanoke, AL

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Russell D Peterson, DO is a medicare enrolled "Family Medicine" physician in Roanoke, Alabama. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tanner Primary Care Of Roanoke Inc and his current practice location is 965 Us Hwy 431, Roanoke, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 863-2141.

Russell D Peterson is licensed to practice in Alabama (license number DO436) 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 1144322504.

Contact Information

Russell D Peterson, DO
965 Us Hwy 431,
Roanoke, AL 36274
(334) 863-2141
(334) 863-8733

Map and Direction




Physician's Profile

Full NameRussell D Peterson
GenderMale
SpecialityFamily Practice
Experience43 Years
Location965 Us Hwy 431, Roanoke, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Russell D Peterson attended and graduated from Michigan State University College Of Osteopathic Medicine in 1981
  NPI Data:
  • NPI Number: 1144322504
  • Provider Enumeration Date: 09/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1153348651
  • Enrollment ID: I20100809000361

Medical Identifiers

Medical identifiers for Russell D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144322504NPI-NPPES
51091244OtherALBCBS OF ALABAMA
000091244MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO436 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Compassus-gadsdenSouthside, ALHospice
Chattahoochee Hospice IncValley, ALHospice
Tanner Medical Center-east AlabamaWedowee, ALHospital
Tanner Medical Center - CarrolltonCarrollton, GAHospital
Traylor Retirement CommunityRoanoke, ALNursing home
Roanoke Rehabilitation & Healthcare CenterRoanoke, ALNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tanner Primary Care Of Roanoke Inc11536630914

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. Russell D Peterson allows following entities to bill medicare on his behalf.
Entity NameTanner Primary Care Of Roanoke Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255899092
PECOS PAC ID: 1153663091
Enrollment ID: O20190425001408

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. Russell D 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
Russell D Peterson, DO
Po Box 625,
Roanoke, AL 36274-0625

Ph: (334) 863-2141		Russell D Peterson, DO
965 Us Hwy 431,
Roanoke, AL 36274

Ph: (334) 863-2141

Reviews and Comments


Family Medicine Doctors in Roanoke, AL

Michael Robinson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1950 Main St., Roanoke, AL 36274
Phone: 334-863-2311    Fax: 334-863-5596
Dr. Mitchell Carey Shirah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 59664 Highway 22, Roanoke, AL 36274
Phone: 334-863-8952    Fax: 334-863-2361

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.