Dr Jed Russell Peterson, MD in Portland, OR - Medicare Diagnostic Radiology

Dr Jed Russell Peterson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Portland, Oregon. He went to Albany Medical College Of Union University and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Providence St Joseph Medical Center, Portland Adventist Medical Center, Diagnostic Radiologists Pc and his current practice location is 10123 Se Market St, Department Of Radiology, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 251-6137.

Dr Jed Russell Peterson is licensed to practice in Oregon (license number 157199) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164634770.

Contact Information

	Dr Jed Russell Peterson, MD
	10123 Se Market St, Department Of Radiology, Portland, OR 97216-2532
	(503) 251-6137
	(503) 261-6058

Map and Direction

Physician's Profile

Full Name	Dr Jed Russell Peterson
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	10123 Se Market St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jed Russell Peterson attended and graduated from Albany Medical College Of Union University in 2006

NPI Data:

NPI Number: 1164634770
Provider Enumeration Date: 05/04/2007
Last Update Date: 10/15/2012

Medicare PECOS Information:

PECOS PAC ID: 7012172166
Enrollment ID: I20120622000541

Medical Identifiers

Medical identifiers for Dr Jed Russell Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164634770	NPI	-	NPPES
157199	Other	OR	OREGON MEDICAL BOARD
MD60212410	Other	WA	MEDICAL LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD.60212410 (Washington)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD.60212410 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	157199 (Oregon)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	157199 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital
Ohsu Hospital And Clinics	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence St Joseph Medical Center	0446230247	41
Portland Adventist Medical Center	3274908819	242
Diagnostic Radiologists Pc	4183510902	29

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 Jed Russell Peterson allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Radiologists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368563 PECOS PAC ID: 4183510902 Enrollment ID: O20040226000956

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327

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 Jed Russell 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 Jed Russell Peterson, MD 10123 Se Market St, Department Of Radiology, Portland, OR 97216-2532 Ph: (503) 251-6137	Dr Jed Russell Peterson, MD 10123 Se Market St, Department Of Radiology, Portland, OR 97216-2532 Ph: (503) 251-6137

Reviews and Comments

Radiology Doctors in Portland, OR

Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Erik W Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-2570
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990

Dr Jed Russell Peterson, MD - Medicare Diagnostic Radiology in Portland, OR