Dr Scott J Petersen, MD in Oakland, CA - Medicare General Practice

Dr Scott J Petersen, MD is a medicare enrolled "General Practice" physician in Oakland, California. His current practice location is 275 W Macarthur Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1000.

Dr Scott J Petersen is licensed to practice in California (license number G066975) 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 1710034251.

Contact Information

	Dr Scott J Petersen, MD
	275 W Macarthur Blvd, Oakland, CA 94611-5641
	(510) 752-1000
	(510) 620-9222

Map and Direction

Physician's Profile

Full Name	Dr Scott J Petersen
Gender	Male
Speciality	General Practice
Location	275 W Macarthur Blvd, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710034251
Provider Enumeration Date: 01/05/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7810180510
Enrollment ID: I20101026000240

Medical Identifiers

Medical identifiers for Dr Scott J Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710034251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	G066975 (California)	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 Scott J Petersen allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Scott J Petersen 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 Scott J Petersen, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000	Dr Scott J Petersen, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000

Reviews and Comments

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Dr Scott J Petersen, MD - Medicare General Practice in Oakland, CA