Katie L Peterson, in Green Bay, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Katie L Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Green Bay, Wisconsin. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Green Bay Anesthesia Assoc. Sc, Aurora Medical Group, Inc., Sanford Medical Center Fargo and her current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 857-0894.

Katie L Peterson is licensed to practice in Wisconsin (license number 13465-33) 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 1740453141.

Contact Information

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

Map and Direction

Provider's Profile

Full Name	Katie L Peterson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katie L Peterson graduated from nursing school in 2008

NPI Data:

NPI Number: 1740453141
Provider Enumeration Date: 04/07/2008
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3375621865
Enrollment ID: I20150630002444

Medical Identifiers

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

Identifier	Type	State	Issuer
1740453141	NPI	-	NPPES
100033154	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	490 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R53714 (North Dakota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	13465-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Hospital Medical Center	Green bay, WI	Hospital
Aurora Medical Ctr Oshkosh	Oshkosh, WI	Hospital
Sanford Medical Center Fargo	Fargo, ND	Hospital
St Vincent Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Green Bay Anesthesia Assoc. Sc	4486613858	74
Aurora Medical Group, Inc.	6709794258	3269
Sanford Medical Center Fargo	8426967803	1085

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. Katie L Peterson allows following entities to bill medicare on her behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Katie L 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
Katie L Peterson, 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: () -	Katie L Peterson, 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

Katie L Peterson, - Medicare Certified Registered Nurse Anesthetist (crna) in Green Bay, WI