Tatiana Lvovna Peterson, MD - Medicare Geriatric Medicine in Vancouver, WA

Tatiana Lvovna Peterson, MD is a medicare enrolled "Internal Medicine" physician in Vancouver, Washington. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Legacy Salmon Creek Hospital, The Vancouver Clinic Inc Ps and her current practice location is 2121 Ne 139th St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 487-1000.

Tatiana Lvovna Peterson is licensed to practice in Washington (license number MD00042246) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114070455.

Contact Information

Tatiana Lvovna Peterson, MD
2121 Ne 139th St,
Vancouver, WA 98686-2316
(360) 487-1000
(360) 487-5239

Map and Direction




Physician's Profile

Full NameTatiana Lvovna Peterson
GenderFemale
SpecialityGeriatric Medicine
Experience28 Years
Location2121 Ne 139th St, Vancouver, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tatiana Lvovna Peterson graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1114070455
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 06/03/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1052374519
  • Enrollment ID: I20041105000949

Medical Identifiers

Medical identifiers for Tatiana Lvovna Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114070455NPI-NPPES
8374563MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD00042246 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Salmon Creek Medical CenterVancouver, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Salmon Creek Hospital0446295711236
The Vancouver Clinic Inc Ps3173436490471

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. Tatiana Lvovna Peterson allows following entities to bill medicare on her behalf.
Entity NameThe Vancouver Clinic Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992759427
PECOS PAC ID: 3173436490
Enrollment ID: O20031111000793
Entity NameLegacy Salmon Creek Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356357784
PECOS PAC ID: 0446295711
Enrollment ID: O20051223000194

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. Tatiana Lvovna 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 AddressPractice Location Address
Tatiana Lvovna Peterson, MD
2121 Ne 139th St,
Vancouver, WA 98686-2316

Ph: (360) 487-1000
Tatiana Lvovna Peterson, MD
2121 Ne 139th St,
Vancouver, WA 98686-2316

Ph: (360) 487-1000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.