Nicholas James Peterson, PT in La Crosse, WI - Medicare Physical Therapist Provider

Nicholas James Peterson, PT is a medicare enrolled "Physical Therapist" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Nicholas James Peterson is licensed to practice in Wisconsin (license number 16111) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053035261.

Contact Information

	Nicholas James Peterson, PT
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas James Peterson
Gender	Male
Speciality	Physical Therapist
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053035261
Provider Enumeration Date: 09/30/2022
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 9032571542
Enrollment ID: I20230816000441

Medical Identifiers

Medical identifiers for Nicholas James Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053035261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13206 (Minnesota)	Secondary
225100000X	Physical Therapist	16111 (Wisconsin)	Primary

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. Nicholas James Peterson allows following entities to bill medicare on his behalf.

Provider Name	Gundersen Clinic Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579

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. Nicholas James 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
Nicholas James Peterson, PT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Nicholas James Peterson, PT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Physical Therapist in La Crosse, WI

Thomas S Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Hanni R Cowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Amy Ruth Juel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. John Frederick Greany, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3501 Park Lane Dr, La Crosse, WI 54601 Phone: 608-519-9373 Fax: 608-790-9477
Julie A. Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Charlene M Deters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Samuel Wenzlaff, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Nicholas James Peterson, PT - Medicare Physical Therapist in La Crosse, WI