Dr Caitlin Gannon Peterson, DO in Norfolk, VA

Dr Caitlin Gannon Peterson, DO is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Norfolk, Virginia. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2012 and has 12 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Utah Pediatric Services, Intermountain Healthcare Services, Inc and her current practice location is 601 Childrens Ln, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-7244.

Dr Caitlin Gannon Peterson is licensed to practice in Virginia (license number 0102208511) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760742530.

Contact Information

	Dr Caitlin Gannon Peterson, DO
	601 Childrens Ln, Norfolk, VA 23507-1910
	(757) 668-7244
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Caitlin Gannon Peterson
Gender	Female
Speciality	Pediatric Medicine
Experience	12 Years
Location	601 Childrens Ln, Norfolk, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Caitlin Gannon Peterson attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2012

NPI Data:

NPI Number: 1760742530
Provider Enumeration Date: 05/25/2012
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6709024599
Enrollment ID: I20180510000786

Medical Identifiers

Medical identifiers for Dr Caitlin Gannon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760742530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0210X	Pediatrics - Pediatric Nephrology	10784090-1204 (Utah)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0210X	Pediatrics - Pediatric Nephrology	0102208511 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	70
Intermountain Healthcare Services, Inc	1850209420	3228

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 Caitlin Gannon Peterson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Caitlin Gannon 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
Dr Caitlin Gannon Peterson, DO 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7244	Dr Caitlin Gannon Peterson, DO 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7244

Reviews and Comments

Pediatrics Doctors in Norfolk, VA

Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821
Dr. Phuongkhanh Huy Cromwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 804-695-0305

Dr Caitlin Gannon Peterson, DO - Medicare Pediatric Medicine in Norfolk, VA