Larry D Petersen, MD in Springfield, MO

Larry D Petersen, MD is a medicare enrolled "Anesthesiology" physician in Springfield, Missouri. His current practice location is 3801 S National Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-4550.

Larry D Petersen is licensed to practice in Missouri (license number MDR7D93) 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 1689617771.

Contact Information

	Larry D Petersen, MD
	3801 S National Ave, Springfield, MO 65807-5210
	(417) 269-4550
	Not Available

Map and Direction

Physician's Profile

Full Name	Larry D Petersen
Gender	Male
Speciality	Anesthesiology
Location	3801 S National Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689617771
Provider Enumeration Date: 06/14/2006
Last Update Date: 06/28/2012

Medicare PECOS Information:

PECOS PAC ID: 3375563901
Enrollment ID: I20051129000126

Medical Identifiers

Medical identifiers for Larry D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689617771	NPI	-	NPPES
202009619	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MDR7D93 (Missouri)	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. Larry D Petersen allows following entities to bill medicare on his behalf.

Entity Name	Ozark Anesthesia Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20040106000363

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. Larry D 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
Larry D Petersen, MD 1000 E Primrose St, Springfield, MO 65807-5180 Ph: (417) 269-4550	Larry D Petersen, MD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-4550

Reviews and Comments

Anesthesiology Doctors in Springfield, MO

Dr. Dawn E Zablocki, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Jeffrey Gunderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550
Dr. David M Delahay Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Dr. Claude Merrill Ashby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-6863
Dr. Youssef Y. Yassa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Dr. Steven A Ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Kent Schaller, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550

Larry D Petersen, MD - Medicare Anesthesiology in Springfield, MO