Evan Douglas Peterson, PA-C - Medicare Physician Assistant in Des Moines, IA

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Evan Douglas Peterson, PA-C is a medicare enrolled "Physician Assistant" in Des Moines, Iowa. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Iowa Physicians Clinic Medical Foundation and his current practice location is 6520 Se 14th St, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 953-1500.

Evan Douglas Peterson is licensed to practice in Iowa (license number 088343) 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 1003330036.

Contact Information

Evan Douglas Peterson, PA-C
6520 Se 14th St,
Des Moines, IA 50320-1846
(515) 953-1500
(515) 953-2136

Map and Direction




Provider's Profile

Full NameEvan Douglas Peterson
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location6520 Se 14th St, Des Moines, Iowa
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:
  • Evan Douglas Peterson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1003330036
  • Provider Enumeration Date: 08/01/2017
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789958737
  • Enrollment ID: I20170914003216

Medical Identifiers

Medical identifiers for Evan Douglas Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003330036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 088343 (Iowa)Primary
207Q00000XFamily Medicine 088343 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unitypoint At HomeUrbandale, IAHome health agency
Unitypoint Health - Des Moines Iowa Methodist MediDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iowa Physicians Clinic Medical Foundation87299923181254

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. Evan Douglas Peterson allows following entities to bill medicare on his behalf.
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363

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. Evan Douglas 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
Evan Douglas Peterson, PA-C
103 Sw 3rd St Apt 403,
Des Moines, IA 50309-4832

Ph: (515) 577-6220		Evan Douglas Peterson, PA-C
6520 Se 14th St,
Des Moines, IA 50320-1846

Ph: (515) 953-1500

Reviews and Comments


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Ms. Jessica A Mathisen, PA-C
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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.