Thomas L Peterson, MD is a
Emergency Medicine physician based in Rice Lake, Wisconsin. Thomas L Peterson is licensed to practice in Wisconsin (license number WI26696) and his current practice location is 1700 W Stout St, Rice Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 236-8100.
NPI number for Thomas L Peterson is 1609820620 and his current mailing address is 1000 N Oak Ave, Marshfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609820620.
Physician's Profile
Full Name | Thomas L Peterson |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1700 W Stout St, Rice Lake, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609820620
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 02/15/2010
Medical Identifiers
Medical identifiers for Thomas L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609820620 | NPI | - | NPPES |
30653800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | WI26696 (Wisconsin) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | WI26696 (Wisconsin) | Secondary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | WI26696 (Wisconsin) | Secondary |
207PT0002X | Emergency Medicine - Medical Toxicology | WI26696 (Wisconsin) | Secondary |
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. Thomas L Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas L Peterson, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Thomas L Peterson, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
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