Kenneth P Peterson, MD in Encino, CA - Medicare Anesthesiology

Kenneth P Peterson, MD is a medicare enrolled "Anesthesiology" physician in Encino, California. His current practice location is 15910 Ventura Blvd, Suite 1502, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 728-9877.

Kenneth P Peterson is licensed to practice in California (license number C50553) 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 1144287707.

Contact Information

	Kenneth P Peterson, MD
	15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802
	(818) 728-9877
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth P Peterson
Gender	Male
Speciality	Anesthesiology
Location	15910 Ventura Blvd, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144287707
Provider Enumeration Date: 04/27/2006
Last Update Date: 04/01/2014

Medicare PECOS Information:

PECOS PAC ID: 0042251704
Enrollment ID: I20050512000902

Medical Identifiers

Medical identifiers for Kenneth P Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144287707	NPI	-	NPPES
G50553	Other	CA	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	C50553 (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. Kenneth P Peterson allows following entities to bill medicare on his behalf.

Entity Name	Palm Springs Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600

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. Kenneth P 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
Kenneth P Peterson, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877	Kenneth P Peterson, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877

Reviews and Comments

Anesthesiology Doctors in Encino, CA

Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877
Paul Konikoff, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877
Dr. Brian Shih, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 17525 Ventura Blvd Ste 203, Encino, CA 91316 Phone: 818-986-0200 Fax: 818-986-4393
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131

Kenneth P Peterson, MD - Medicare Anesthesiology in Encino, CA