DR. SHAWN RAY PETERSEN D.D.S NPI 1437363058

Dentist in Atlantic, IA

NPI 1437363058 Individual Male Dentist PECOS Enrolled

About SHAWN PETERSEN

Shawn Petersen is a provider established in Atlantic, Iowa and his medical specialization is dentist. The NPI number of Shawn Petersen is 1437363058 and was assigned on May 2007. The practitioner's primary taxonomy code is 122300000X with license number 08027 (IA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A dentist like Dr. Shawn Ray Petersen D.d.s is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Shawn Petersen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Shawn Petersen is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1437363058

Provider NameDR. SHAWN RAY PETERSEN D.D.S
Provider Location Address1501 E 10TH ST ATLANTIC, IA 50022
Provider Mailing Address1501 E 10TH ST ATLANTIC, IA 50022
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-10-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.08027
License StateIA
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

DR. SHAWN RAY PETERSEN D.D.S
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-1833
Fax: (712) 243-7552

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Mailing Address

DR. SHAWN RAY PETERSEN D.D.S
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-1833
Fax: (712) 243-7552



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598730954DR. JEFFREY MICHAEL GOERGEN O.D.
Individual
Optometrist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7540
1093770083 CHAD L MCCANCE MD
Individual
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1699874685 ELEANOR J GREENWALL ARNP
Individual
Nurse Practitioner1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700943719MS. EMILY H KRENGEL R.D.,L.D.
Individual
Dietitian, Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1013036037CASS COUNTY MEDICAL CLINICS INC
Organization
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1538280102DR. MARK DAVID MARKHAM D.D.S.
Individual
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1669659108MARK D. MARKHAM, DDS, PLC.
Organization
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1407184518MRS. RACHEL JEAN HANSEN MS,OTR/L
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1649567991 BRENT F GOODRICH CRNA
Individual
Nurse Anesthetist, Certified Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1548423726DR. BRIAN SCOTT FIEDLER D.O.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1073937389 JORDAN MCPHERON DPT
Individual
Physical Therapist1501 E 10TH ST REHABILITATION SERVICES
ATLANTIC, IA 50022
(712) 243-7564
1689081135 LANA FRAIN
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1386045839 TAMARA BIRELINE
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7590
1760581730 TRESSA A WILCOX M.D.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1821198896CASS COUNTY MEDICAL CLINICS, INC.
Organization
Clinic/Center1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1326374414DR. ROGER C. DROWN DPM
Individual
Podiatrist (Foot & Ankle Surgery)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1952769911 DANIEL P VOGEL DPT
Individual
Physical Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7564
1144307810 SUZANNE M BEITZEL ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1083160030 ALYSSA ROGERS OTR
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1932416724 ANDREW JOHN NIEMANN ATC
Individual
Specialist/Technologist (Athletic Trainer)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 249-7598

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.