Timothy Peterson, MD - Medicare Family Practice in Nellis Afb, NV

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Timothy Peterson, MD is a medicare enrolled "Family Medicine" physician in Nellis Afb, Nevada. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shannon Clinic, The West Texas Rehabilitation Center and his current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-2273.

Timothy Peterson is licensed to practice in Nevada (license number LL2279) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922362490.

Contact Information

Timothy Peterson, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(702) 653-2273
Not Available

Map and Direction




Physician's Profile

Full NameTimothy Peterson
GenderMale
SpecialityFamily Practice
Experience12 Years
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy Peterson graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1922362490
  • Provider Enumeration Date: 06/29/2012
  • Last Update Date: 06/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7012166564
  • Enrollment ID: I20190723002819

Medical Identifiers

Medical identifiers for Timothy Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922362490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine LL2279 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home HealthAbilene, TXHome health agency
Angels Care Home Health Of San AngeloSan angelo, TXHome health agency
Shannon Home Health ServicesSan angelo, TXHome health agency
Kindred At HomeEastland, TXHome health agency
Shannon Medical CenterSan angelo, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shannon Clinic0840103727411
The West Texas Rehabilitation Center2860301215336

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. Timothy Peterson allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702

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. Timothy 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
Timothy Peterson, MD
975 Seven Hills Dr,
Henderson, NV 89052-4314

Ph: (435) 770-9505		Timothy Peterson, MD
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-2273

Reviews and Comments


Family Medicine Doctors in Nellis Afb, NV

Dr. Debra A Koenigsberger, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2267    
Eileen Ly, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Alisha Provost, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Noel R Colls, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2764    
Dr. Elizabeth Anne Landman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Kristen Dorazio, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Dipti S Patel, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2965    

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.