Robert William Peterson, MD in Portland, OR

Robert William Peterson, MD is a medicare enrolled "Pediatrics" physician in Portland, Oregon. His current practice location is 3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office East, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 331-3078.

Robert William Peterson is licensed to practice in Oregon (license number 30984) 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 1104938380.

Contact Information

	Robert William Peterson, MD
	3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office East, Portland, OR 97227-1196
	(503) 331-3078
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert William Peterson
Gender	Male
Speciality	Pediatrics
Location	3550 N Interstate Ave, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104938380
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7012091077
Enrollment ID: I20080228000641

Medical Identifiers

Medical identifiers for Robert William Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104938380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	30984 (Washington)	Secondary
208000000X	Pediatrics	30984 (Oregon)	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. Robert William Peterson allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Robert William 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
Robert William Peterson, MD 3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office East, Portland, OR 97227-1196 Ph: () -	Robert William Peterson, MD 3550 N Interstate Ave, Kaiser Permanente Interstate Medical Office East, Portland, OR 97227-1196 Ph: (503) 331-3078

Reviews and Comments

Pediatrics Doctors in Portland, OR

Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170
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Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300

Robert William Peterson, MD - Medicare Pediatrics in Portland, OR