Dr Kim A Peterson, DO - Medicare Emergency Medicine in Hermiston, OR

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Dr Kim A Peterson, DO is a medicare enrolled "Emergency Medicine" physician in Hermiston, Oregon. His current practice location is 610 Nw 11th St, Hermiston, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 667-3439.

Dr Kim A Peterson is licensed to practice in Oregon (license number DO16339) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821028960.

Contact Information

Dr Kim A Peterson, DO
610 Nw 11th St,
Hermiston, OR 97838-6601
(541) 667-3439
(541) 667-3414

Map and Direction




Physician's Profile

Full NameDr Kim A Peterson
GenderMale
SpecialityEmergency Medicine
Location610 Nw 11th St, Hermiston, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821028960
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860488731
  • Enrollment ID: I20040424000203

Medical Identifiers

Medical identifiers for Dr Kim A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821028960NPI-NPPES
077920MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DO16339 (Oregon)Primary

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 Kim A Peterson allows following entities to bill medicare on his behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameGood Shepherd Health Care System
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20061104000537

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 Kim A 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 AddressPractice Location Address
Dr Kim A Peterson, DO
Po Box 1724,
Hermiston, OR 97838-3724

Ph: (541) 564-9034		Dr Kim A Peterson, DO
610 Nw 11th St,
Hermiston, OR 97838-6601

Ph: (541) 667-3439

Reviews and Comments


Emergency Medicine Doctors in Hermiston, OR

Dr. Sara Trask, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838
Phone: 541-567-2995    Fax: 541-567-7720

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.