Jedidiah Allen Petersen, PA - Medicare Physician Assistant in Polson, MT

Jedidiah Allen Petersen, PA is a medicare enrolled "Physician Assistant" in Polson, Montana. He graduated from nursing school in 2013 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence St Joseph Medical Center and his current practice location is 6 13th Ave E, Polson, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 883-5680.

Jedidiah Allen Petersen is licensed to practice in Idaho (license number PA-1110) 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 1366870206.

Contact Information

Jedidiah Allen Petersen, PA
6 13th Ave E,
Polson, MT 59860-5315
(406) 883-5680
(406) 883-8960

Map and Direction




Provider's Profile

Full NameJedidiah Allen Petersen
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location6 13th Ave E, Polson, Montana
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:
  • Jedidiah Allen Petersen graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1366870206
  • Provider Enumeration Date: 10/30/2013
  • Last Update Date: 12/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3779706551
  • Enrollment ID: I20151209002109

Medical Identifiers

Medical identifiers for Jedidiah Allen Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366870206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-1110 (Idaho)Primary

Hospital Affiliation

Hospital NameLocationType
Providence St Joseph Medical CenterPolson, MTCritical Access Hospital
St Luke Community HospitalRonan, MTCritical Access Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence St Joseph Medical Center044623024737

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. Jedidiah Allen Petersen 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
Jedidiah Allen Petersen, PA
Po Box 262,
Liberty Lake, WA 99019-0262

Ph: (208) 232-7862
Jedidiah Allen Petersen, PA
6 13th Ave E,
Polson, MT 59860-5315

Ph: (406) 883-5680

Reviews and Comments


Physician Assistant Nurses in Polson, MT

Joshua Russell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860
Phone: 406-883-3200    Fax: 406-883-9483
Timothy W. Thornton, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6 13th Ave E, Polson, MT 59860
Phone: 406-883-5680    Fax: 406-883-8910
Taylor M Lies, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860
Phone: 406-883-3200    Fax: 406-883-9483
Amy M. Johnson, FNP
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: #5 4th Ave. E., Polson, MT 59860
Phone: 406-745-3525    Fax: 406-745-3529
Eric M Schallock, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Ridgewater Dr, Polson, MT 59860
Phone: 406-676-4441    Fax: 406-676-0835
Cody Brown, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6 13th Ave E, Polson, MT 59860
Phone: 406-883-8432    Fax: 406-883-8255

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.