Brett Mychael Peterson, CRNA in Green Bay, WI - Medicare Nurse Anesthetist, Certified Registered

Brett Mychael Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. His current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 857-0894.

Brett Mychael Peterson is licensed to practice in Wisconsin (license number 14142-33) 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 1376242842.

Contact Information

	Brett Mychael Peterson, CRNA
	835 S Van Buren St, Green Bay, WI 54301-3526
	(920) 857-0894
	Not Available

Map and Direction

Provider's Profile

Full Name	Brett Mychael Peterson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376242842
Provider Enumeration Date: 02/23/2023
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5193184497
Enrollment ID: I20230705001848

Medical Identifiers

Medical identifiers for Brett Mychael Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376242842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	14142-33 (Wisconsin)	Primary
163W00000X	Registered Nurse	196486 (Wisconsin)	Secondary

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. Brett Mychael Peterson allows following entities to bill medicare on his behalf.

Entity Name	Green Bay Anesthesia Assoc. Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244

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. Brett Mychael 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
Brett Mychael Peterson, CRNA 2129 N Connies Ct, Appleton, WI 54914-1867 Ph: (920) 843-3556	Brett Mychael Peterson, CRNA 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 857-0894

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Green Bay, WI

Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071

Brett Mychael Peterson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Green Bay, WI