Travis A Peterson, DO in Provo, UT - Medicare Orthopaedic Surgery

Travis A Peterson, DO is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Provo, Utah. His current practice location is 1055 N 500 W Ste 207, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 375-4263.

Travis A Peterson is licensed to practice in Utah (license number 10858427-1204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033326020.

Contact Information

	Travis A Peterson, DO
	1055 N 500 W Ste 207, Provo, UT 84604-3305
	(801) 375-4263
	(801) 429-8085

Map and Direction

Physician's Profile

Full Name	Travis A Peterson
Gender	Male
Speciality	Orthopaedic Surgery - Hand Surgery
Location	1055 N 500 W Ste 207, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033326020
Provider Enumeration Date: 05/17/2007
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4486824083
Enrollment ID: I20181026001742

Medical Identifiers

Medical identifiers for Travis A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033326020	NPI	-	NPPES
10858427-1204	Other	UT	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	OP60232831 (Washington)	Secondary
207XS0106X	Orthopaedic Surgery - Hand Surgery	OP60232831 (Washington)	Secondary
207XS0106X	Orthopaedic Surgery - Hand Surgery	10858427-1204 (Utah)	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. Travis A Peterson allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Orthoutah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447474929 PECOS PAC ID: 3678674678 Enrollment ID: O20070720000380

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. Travis 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
Travis A Peterson, DO 61 W 13490 S Ste 100, Draper, UT 84020-7299 Ph: (801) 997-5770	Travis A Peterson, DO 1055 N 500 W Ste 207, Provo, UT 84604-3305 Ph: (801) 375-4263

Reviews and Comments

Orthopaedic Surgery Doctors in Provo, UT

Michael Callahan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-763-3885 Fax: 801-763-3887
Jeffrey M Wallentine, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401
Dr. Trevor Shelton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1200
Toby Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 207, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-429-8085
Richard T Jackson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401
Joshua Nelson Speirs, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1157 N 300 W Ste 302, Provo, UT 84604 Phone: 801-357-4470 Fax: 801-357-4473

Travis A Peterson, DO - Medicare Orthopaedic Surgery in Provo, UT