Kaitlin M Peterson, MD in Albuquerque, NM

Kaitlin M Peterson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albuquerque, New Mexico. Her current practice location is 8020 Constitution Pl Ne Ste 202, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 998-3096.

Kaitlin M Peterson is licensed to practice in New Mexico (license number MD2022-0911) 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 1669903191.

Contact Information

	Kaitlin M Peterson, MD
	8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110-7640
	(505) 998-3096
	Not Available

Map and Direction

Physician's Profile

Full Name	Kaitlin M Peterson
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	8020 Constitution Pl Ne Ste 202, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669903191
Provider Enumeration Date: 03/26/2017
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6002248564
Enrollment ID: I20220706002821

Medical Identifiers

Medical identifiers for Kaitlin M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669903191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	72231 (Wisconsin)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD2022-0911 (New Mexico)	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. Kaitlin M Peterson allows following entities to bill medicare on her behalf.

Entity Name	Group Health Cooperative Of South Central Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

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. Kaitlin M 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
Kaitlin M Peterson, MD 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110-7640 Ph: (505) 998-3096	Kaitlin M Peterson, MD 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110-7640 Ph: (505) 998-3096

Reviews and Comments

Radiology Doctors in Albuquerque, NM

Mark Ehrhart, MD Radiology Medicare: Medicare Enrolled Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661
Dr. Shaya Ansari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225

Kaitlin M Peterson, MD - Medicare Radiology in Albuquerque, NM