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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Mark Gordon Peterson

MD

Family Medicine

NPI: 1629129168Winslow, Arizona, 86047(928) 289-4646Male

About Dr. Mark Gordon Peterson

Dr. Mark Gordon Peterson, MD, is a male healthcare professional specializing in Family Medicine, registered under National Provider Identifier (NPI) number 1629129168. Their primary practice is located at 500 INDIANA AVE, Winslow, Arizona 86047.

Patients can reach the office at (928) 289-4646. Dr. Mark Gordon Peterson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Dr. Mark Gordon Peterson has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1629129168
Entity Type
Individual
First Name
Mark
Last Name
Peterson
Credential
MD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
500 INDIANA AVE
City
Winslow
State
Arizona
ZIP
86047-2169
Country
United States
Phone
(928) 289-4646
Fax
(928) 289-6229

Specialty & Taxonomy

Primary Specialty
Family Medicine
Classification
Family Medicine
Taxonomy Code
207Q00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
500 INDIANA AVE
City
WINSLOW
State
AZ
ZIP
860472169

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Mark Gordon Peterson's NPI number?
Dr. Mark Gordon Peterson's National Provider Identifier (NPI) is 1629129168. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Mark Gordon Peterson specialize in?
Dr. Mark Gordon Peterson specializes in Family Medicine.
Where is Dr. Mark Gordon Peterson located?
Dr. Mark Gordon Peterson practices at 500 INDIANA AVE, Winslow, Arizona 86047. You can reach them by phone at (928) 289-4646.
Does Dr. Mark Gordon Peterson accept Medicare?
Yes, Dr. Mark Gordon Peterson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Mark Gordon Peterson offer telehealth or virtual visits?
Dr. Mark Gordon Peterson does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Mark Gordon Peterson prescribe medications?
Yes, Dr. Mark Gordon Peterson is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Mark Gordon Peterson is 1629129168.