Kenneth D Peterson, CRNA in Oshkosh, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Kenneth D Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oshkosh, Wisconsin. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Aspirus Stevens Point Hospital And Clinics, Inc., Aurora Medical Group, Inc. and his current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-8700.

Kenneth D Peterson is licensed to practice in Wisconsin (license number 198339-30) 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 1386131324.

Contact Information

	Kenneth D Peterson, CRNA
	855 N Westhaven Dr, Oshkosh, WI 54904-7668
	(920) 303-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth D Peterson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	855 N Westhaven Dr, Oshkosh, Wisconsin
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:

Kenneth D Peterson graduated from nursing school in 2018

NPI Data:

NPI Number: 1386131324
Provider Enumeration Date: 04/16/2018
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 2264788827
Enrollment ID: I20180712000218

Medical Identifiers

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

Identifier	Type	State	Issuer
1386131324	NPI	-	NPPES
100079117	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	198339-30 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Ctr Oshkosh	Oshkosh, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aspirus Stevens Point Hospital And Clinics, Inc.	1850358938	125
Aurora Medical Group, Inc.	6709794258	3269

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. Kenneth D Peterson allows following entities to bill medicare on his behalf.

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	Aspirus Wausau Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297

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

Entity Name	Aspirus Stevens Point Hospital & Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558

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. Kenneth D 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
Kenneth D Peterson, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 303-8700	Kenneth D Peterson, CRNA 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oshkosh, WI

Ms. Michele M Osborne, CRNA-MNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5630
Patrick A Tousignant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-232-1941
Mr. Matthew R Mueller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700
Mr. David Brad Bogard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-6000 Fax: 920-456-5590
Kelly A Kastein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632
Kristoffer L Hagen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-2000
Laura Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-1941

Kenneth D Peterson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oshkosh, WI