Rene A Peterson, DPM
Individual provider Active NPI Podiatrist · Millville, DE
NPI 1528036142 · NPPES record last updated Mar 28, 2019
Key facts
- NPI
- 1528036142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- E10000129 (DE)
- Practice address
- 35202 Atlantic Ave
Millville, DE 19967 - Phone
- (302) 541-0323
- Fax
- (302) 539-8736
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
35715 Atlantic Ave
Millville, DE 19967-6944
Phone (302) 258-8868
Hospital & facility affiliations
- Beebe Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 779 |
| Removal or shaving of skin growth | 102 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061002000670 | DE | Practitioner - Podiatry | 5698770386 |
Reassigns benefits to 1 organization Practice locations: Millville, DE |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rene' a Peterson, DPM LLC | Podiatrist | Current |
Accepting new patients |
| BVCC | Past |
Accepting new patients |
Locations
35715 Atlantic Ave
Millville, DE 19967
Phone (302) 258-8868
35715 Atlantic Ave
Unit 3A
Millville, DE 19967
Phone (302) 539-7063
35202 Atlantic Ave
Millville, DE 19967
Phone (302) 539-7063
Interoperability endpoints
- rpetersondpm@rpd-de.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E10000129 | DE | Yes |
Addresses
Primary practice location
35202 Atlantic Ave
Millville, DE 19967
Mailing address
35202 Atlantic Ave
Millville, DE 19967-6901
Phone (302) 541-0323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000957917 | Medicaid | DE |
Other providers in Millville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.