Timothy A Peterson, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Grand Forks, North Dakota. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc and his current practice location is
4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 205-3000.
Timothy A Peterson is licensed to practice in North Dakota (license number 7777) 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 1134211568.
Physician's Profile
Full Name | Timothy A Peterson |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 32 Years |
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Location | 4700 S Washington St Ste G, Grand Forks, North Dakota |
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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:
- Timothy A Peterson graduated from medical school in 1992
NPI Data:
- NPI Number: 1134211568
- Provider Enumeration Date: 09/30/2006
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739197567
- Enrollment ID: I20130731000600
Medical Identifiers
Medical identifiers for Timothy A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134211568 | NPI | - | NPPES |
1456145 | Medicaid | ND | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 7777 (North Dakota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 7777 (North Dakota) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 7777 (North Dakota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Peterson Medical Clinics Llc | 9335412220 | 48 |
Peterson Medical Clinics Llc | 9335412220 | 48 |
Peterson Medical Clinics Llc | 9335412220 | 48 |
Peterson Medical Clinics Llc | 9335412220 | 48 |
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. Timothy A Peterson allows following entities to bill medicare on his behalf.
Entity Name | Astera Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
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Entity Name | Astera Health |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
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Entity Name | Peterson Medical Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20180420000250 |
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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. Timothy A 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 |
Timothy A Peterson, MD Po Box 5210, Grand Forks, ND 58206-5210 Ph: (701) 205-3000 | Timothy A Peterson, MD 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 Ph: (701) 205-3000 |
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