Dr Preston Lane Peterson, MD in Portland, OR

Dr Preston Lane Peterson, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Portland, Oregon. His current practice location is 2701 Nw Vaughn St, Suite 160, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 499-5200.

Dr Preston Lane Peterson is licensed to practice in Oregon (license number MD25733) 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 1245201508.

Contact Information

	Dr Preston Lane Peterson, MD
	2701 Nw Vaughn St, Suite 160, Portland, OR 97210-5311
	(503) 499-5200
	(503) 499-5455

Map and Direction

Physician's Profile

Full Name	Dr Preston Lane Peterson
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	2701 Nw Vaughn St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245201508
Provider Enumeration Date: 01/26/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5991736761
Enrollment ID: I20050822001449

Medical Identifiers

Medical identifiers for Dr Preston Lane Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245201508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	MD60167468 (Washington)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	MD25733 (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 Preston Lane Peterson allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Preston Lane 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 Preston Lane Peterson, MD 2701 Nw Vaughn St, Suite 160, Portland, OR 97210-5311 Ph: (503) 499-5200	Dr Preston Lane Peterson, MD 2701 Nw Vaughn St, Suite 160, Portland, OR 97210-5311 Ph: (503) 499-5200

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Preston Lane Peterson, MD - Medicare Internal Medicine in Portland, OR