Dr Randhi Wijekularatne Peterson, MD is a medicare enrolled "Hospitalist" physician in Meridian, Idaho. Her current practice location is
520 S Eagle Rd, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at
(702) 493-9051.
Dr Randhi Wijekularatne Peterson is licensed to practice in Idaho (license number M15216) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831451681.
Physician's Profile
Full Name | Dr Randhi Wijekularatne Peterson |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 520 S Eagle Rd, Meridian, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831451681
- Provider Enumeration Date: 06/07/2012
- Last Update Date: 06/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426370750
- Enrollment ID: I20151021000161
Medical Identifiers
Medical identifiers for Dr Randhi Wijekularatne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831451681 | NPI | - | NPPES |
Q5902 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | M15216 (Idaho) | Primary |
207R00000X | Internal Medicine | Q5902 (Texas) | Secondary |
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 Randhi Wijekularatne Peterson allows following entities to bill medicare on her behalf.
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
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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 Randhi Wijekularatne 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 Randhi Wijekularatne Peterson, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr Randhi Wijekularatne Peterson, MD 520 S Eagle Rd, Meridian, ID 83642-6351 Ph: (702) 493-9051 |
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