Dr John Peterson, MD is a medicare enrolled "General Practice" physician in Santa Clara, California. He went to Emory University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
700 Lawrence Expy, Dept 200, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at
(650) 796-8370.
Dr John Peterson is licensed to practice in California (license number A109303) 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 1851419907.
Physician's Profile
| Full Name | Dr John Peterson |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 16 Years |
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| Location | 700 Lawrence Expy, Santa Clara, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Peterson attended and graduated from Emory University School Of Medicine in 2008
NPI Data:
- NPI Number: 1851419907
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507029717
- Enrollment ID: I20120529000130
Medical Identifiers
Medical identifiers for Dr John Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851419907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | A109303 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8376 |
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 John Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 John 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 |
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Dr John Peterson, MD
12693 Roble Veneno Ln, Unit 2,
Los Altos Hills, CA 94022-2668
Ph: (650) 796-8370 | Dr John Peterson, MD
700 Lawrence Expy, Dept 200,
Santa Clara, CA 95051-5173
Ph: (650) 796-8370 |
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