Eileen Peterson, CRNA in Fairfax, VA - Medicare Nurse Anesthetist, Certified Registered

Eileen Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. Her current practice location is 3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 391-3600.

Eileen Peterson is licensed to practice in Virginia (license number 0024117346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710917919.

Contact Information

	Eileen Peterson, CRNA
	3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
	(703) 391-3600
	(703) 391-3414

Map and Direction

Provider's Profile

Full Name	Eileen Peterson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3600 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710917919
Provider Enumeration Date: 07/03/2006
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2062473101
Enrollment ID: I20041022000238

Medical Identifiers

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

Identifier	Type	State	Issuer
1710917919	NPI	-	NPPES
1710917919	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024117346 (Virginia)	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. Eileen Peterson allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Inova Cares - Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576

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. Eileen 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
Eileen Peterson, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: () -	Eileen Peterson, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfax, VA

Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129
Kaley Lanzetta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-391-3006
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369

Eileen Peterson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fairfax, VA