Dr Emily Lara Petersen, MD in Coeur D Alene, ID

Dr Emily Lara Petersen, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Coeur D Alene, Idaho. She went to University Of Utah School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Kootenai Health Inc and her current practice location is 700 W Ironwood Dr Ste 375, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 625-6100.

Dr Emily Lara Petersen is licensed to practice in Idaho (license number M-11299) 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 1750414447.

Contact Information

	Dr Emily Lara Petersen, MD
	700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401
	(208) 625-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Emily Lara Petersen
Gender	Female
Speciality	Nephrology
Experience	20 Years
Location	700 W Ironwood Dr Ste 375, Coeur D Alene, Idaho
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 Emily Lara Petersen attended and graduated from University Of Utah School Of Medicine in 2004

NPI Data:

NPI Number: 1750414447
Provider Enumeration Date: 03/13/2007
Last Update Date: 10/06/2020

Medicare PECOS Information:

PECOS PAC ID: 4880863729
Enrollment ID: I20110809000753

Medical Identifiers

Medical identifiers for Dr Emily Lara Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750414447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	6027146-1205 (Utah)	Secondary
207RN0300X	Internal Medicine - Nephrology	M-11299 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc Palouse	Moscow, ID	Dialysis facility
Fmc Post Falls Dialysis Unit	Post falls, ID	Dialysis facility
Kootenai Health	Coeur d'alene, ID	Hospital
Gritman Medical Center	Moscow, ID	Hospital
Benewah Community Hospital	St maries, ID	Hospital
Pullman Regional Hospital	Pullman, WA	Hospital
Whitman Hospital And Medical Center	Colfax, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	330

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 Emily Lara Petersen allows following entities to bill medicare on her behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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 Emily Lara Petersen 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 Emily Lara Petersen, MD Po Box 3649, Spokane, WA 99220 Ph: (509) 838-2531	Dr Emily Lara Petersen, MD 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 Ph: (208) 625-6100

Reviews and Comments

Internal Medicine Doctors in Coeur D Alene, ID

Diana Johns, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814 Phone: 907-687-6248
Marc Olav Granrud, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6710
Kevin Nathaniel Brown, MD Nephrology Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6910
Edward J Macinerney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251
Dr. Amanda Rose Liggett, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494
Dr. Robert Scoggins, M.D., PH.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-765-1252 Fax: 208-765-1494
Dr. Sean Tristan Lawrence Cook, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-625-6944 Fax: 208-625-6945

Dr Emily Lara Petersen, MD - Medicare Nephrology in Coeur D Alene, ID