Brendan Petersen, CRNA in Twin Falls, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Brendan Petersen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Twin Falls, Idaho. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Lukes Clinic Llc, Rock Creek Anesthesia Services Pllc and his current practice location is 801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-1000.

Brendan Petersen is licensed to practice in Idaho (license number RNA-844A) 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 1043569056.

Contact Information

	Brendan Petersen, CRNA
	801 Pole Line Rd W, Twin Falls, ID 83301-5810
	(208) 814-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Brendan Petersen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	801 Pole Line Rd W, Twin Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brendan Petersen graduated from nursing school in 2012

NPI Data:

NPI Number: 1043569056
Provider Enumeration Date: 09/05/2012
Last Update Date: 11/20/2012

Medicare PECOS Information:

PECOS PAC ID: 4688813959
Enrollment ID: I20130617000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1043569056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA-844A (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Magic Valley Medical Center	Twin falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic Llc	1052217478	274
Rock Creek Anesthesia Services Pllc	1355604299	11

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. Brendan Petersen allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

Entity Name	Ambulatory Surgery Center Of Burley, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125

Entity Name	Rock Creek Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790284198 PECOS PAC ID: 1355604299 Enrollment ID: O20180406000956

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. Brendan 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
Brendan Petersen, CRNA 2405 Independence St, Twin Falls, ID 83301 Ph: (480) 734-4071	Brendan Petersen, CRNA 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Twin Falls, ID

Mr. Chet Dansie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Daniel Scott Johnson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-814-0948
John Brandon Cory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Robert Kinghorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Falls Ave W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-733-9463
David A White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 Fax: 208-814-7528
Jason Rojas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2400

Brendan Petersen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Twin Falls, ID