Dr Cody Peterson, OD is a medicare enrolled "Optometrist" provider in Mountain Home Afb, Idaho. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Optometry. His current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 828-7250.
Dr Cody Peterson is licensed to practice in Idaho (license number ODP-100285) 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 1922441245.
Healthcare Provider's Profile
| Full Name | Dr Cody Peterson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 13 Years |
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| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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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. |
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Medical Education and Training:
- Dr Cody Peterson graduated from medical school in 2013
NPI Data:
- NPI Number: 1922441245
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991103517
- Enrollment ID: I20260407001339
Medical Identifiers
Medical identifiers for Dr Cody Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922441245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | ODP-100285 (Idaho) | Primary |
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 Cody 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 Cody Peterson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 | Dr Cody Peterson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 |
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