Dr Jesse Robert Peterson, DPT in Pueblo, CO - Medicare Physical Therapist In Private Practice Provider

Dr Jesse Robert Peterson, DPT is a medicare enrolled "Physical Therapist" provider in Pueblo, Colorado. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Mcdonald Rehab Pc, Mountain Land Rehabilitation Llc and his current practice location is 3525 E Spaulding Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 542-4444.

Dr Jesse Robert Peterson is licensed to practice in Colorado (license number 0018220) 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 1104571256.

Contact Information

	Dr Jesse Robert Peterson, DPT
	3525 E Spaulding Ave, Pueblo, CO 81008-2208
	(719) 542-4444
	(719) 543-1990

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jesse Robert Peterson
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	5 Years
Location	3525 E Spaulding Ave, Pueblo, Colorado
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 Jesse Robert Peterson graduated from medical school in 2021

NPI Data:

NPI Number: 1104571256
Provider Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 3072909134
Enrollment ID: I20220926002029

Medical Identifiers

Medical identifiers for Dr Jesse Robert Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104571256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0018220 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcdonald Rehab Pc	2163505603	12
Mountain Land Rehabilitation Llc	9234048745	47

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 Jesse Robert Peterson allows following entities to bill medicare on his behalf.

Provider Name	Mcdonald Rehab Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497948509 PECOS PAC ID: 2163505603 Enrollment ID: O20080207000254

Provider Name	Mountain Land Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20250306002048

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 Jesse Robert 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 Jesse Robert Peterson, DPT 3525 E Spaulding Ave, Pueblo, CO 81008-2208 Ph: (719) 542-4444	Dr Jesse Robert Peterson, DPT 3525 E Spaulding Ave, Pueblo, CO 81008-2208 Ph: (719) 542-4444

Reviews and Comments

Physical Therapist in Pueblo, CO

Karen Bishop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008 Phone: 719-266-1788 Fax: 719-776-4700
Michelle Perse, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008 Phone: 719-568-9790
Dane M Farnworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008 Phone: 719-542-4444 Fax: 719-543-1990
Cydne Rossi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589
Todd S Chilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 Phone: 719-924-8912 Fax: 719-696-9115
Mary Margaret Whelan Leffert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008 Phone: 719-569-5691 Fax: 719-569-5689
Shannon A Egan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 Fax: 719-542-0119

Dr Jesse Robert Peterson, DPT - Medicare Physical Therapist in Pueblo, CO