Dr Keith Hjalmar Jude Peterson, in Hoboken, NJ

Dr Keith Hjalmar Jude Peterson, is a medicare enrolled "Nurse Practitioner - Acute Care" in Hoboken, New Jersey. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is 77 Park Ave Apt 127, Hoboken, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 931-2812.

Dr Keith Hjalmar Jude Peterson is licensed to practice in New Jersey (license number 26NJ01064600) 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 1275143562.

Contact Information

	Dr Keith Hjalmar Jude Peterson,
	77 Park Ave Apt 127, Hoboken, NJ 07030-7106
	(973) 931-2812
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Keith Hjalmar Jude Peterson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	77 Park Ave Apt 127, Hoboken, New Jersey
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:

Dr Keith Hjalmar Jude Peterson graduated from nursing school in 2020

NPI Data:

NPI Number: 1275143562
Provider Enumeration Date: 08/03/2020
Last Update Date: 11/26/2020

Medicare PECOS Information:

PECOS PAC ID: 1658779988
Enrollment ID: I20211018000512

Medical Identifiers

Medical identifiers for Dr Keith Hjalmar Jude Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275143562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR17689800 (New Jersey)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	26NJ01064600 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Washington Hospital Center	Washington, DC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	1776

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. Dr Keith Hjalmar Jude Peterson allows following entities to bill medicare on his behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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. Dr Keith Hjalmar Jude 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
Dr Keith Hjalmar Jude Peterson, 77 Park Ave Apt 127, Hoboken, NJ 07030-7106 Ph: (973) 931-2812	Dr Keith Hjalmar Jude Peterson, 77 Park Ave Apt 127, Hoboken, NJ 07030-7106 Ph: (973) 931-2812

Reviews and Comments

Nurse Practitioner Nurses in Hoboken, NJ

Ketnie V Aristide, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 221 River St Ste 9, Hoboken, NJ 07030 Phone: 201-308-8252
Erin K. Dicks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Washington St, Hoboken, NJ 07030 Phone: 201-798-1889
Kelly Dowiak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Park Ave Apt 903, Hoboken, NJ 07030 Phone: 908-414-0478
Mrs. Kelsey L Robbins, FNP, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 228 Hudson St Apt 3, Hoboken, NJ 07030 Phone: 918-576-1772
Stacy Teran, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Hudson Pl Fl 6, Hoboken, NJ 07030 Phone: 844-460-0098
Abiodun Akinola Olatubosun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 862-220-6803 Fax: 201-418-1800
Adrienne Pannullo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 Willow Ave Apt 1, Hoboken, NJ 07030 Phone: 732-670-6538

Dr Keith Hjalmar Jude Peterson, - Medicare Nurse Practitioner in Hoboken, NJ