Dr Paul H Peterson, DPM - Medicare Podiatrist in Blaine, MN

Dr Paul H Peterson, DPM is a medicare enrolled "Podiatrist" provider in Blaine, Minnesota. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice North Memorial Health Care and his current practice location is 1420 109th Ave Ne Ste 100, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 581-5880.

Dr Paul H Peterson is licensed to practice in Minnesota (license number 912) 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 1083902126.

Contact Information

Dr Paul H Peterson, DPM
1420 109th Ave Ne Ste 100,
Blaine, MN 55449-3603
(763) 581-5880
(763) 581-5551

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul H Peterson
GenderMale
SpecialityPodiatry
Experience13 Years
Location1420 109th Ave Ne Ste 100, Blaine, Minnesota
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:
  • Dr Paul H Peterson graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1083902126
  • Provider Enumeration Date: 07/11/2011
  • Last Update Date: 12/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0547493389
  • Enrollment ID: I20140502000437

Medical Identifiers

Medical identifiers for Dr Paul H Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083902126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 912 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maple Grove HospitalMaple grove, MNHospital
North Memorial HealthRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028483

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 Paul H Peterson allows following entities to bill medicare on his behalf.
Provider NameNorth Memorial Health Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470

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 Paul H 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
Dr Paul H Peterson, DPM
1420 109th Ave Ne Ste 100,
Blaine, MN 55449-3603

Ph: () -
Dr Paul H Peterson, DPM
1420 109th Ave Ne Ste 100,
Blaine, MN 55449-3603

Ph: (763) 581-5880

Reviews and Comments


Podiatrist in Blaine, MN

Midwest Foot And Ankle Specialists, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 11901 Central Ave Ne, Blaine, MN 55434
Phone: 612-788-8778    Fax: 612-788-3408
Midwest Podiatry Centers Blaine
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 11901 Central Ave Ne, Blaine, MN 55434
Phone: 612-788-8778    Fax: 612-869-3473

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.