Marc Zephire Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Havasu, Arizona. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cedar Anesthesia Group Llp and his current practice location is
101 Civic Center Lane, Havasu Regional Medical Center, Lake Havasu, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 505-5760.
Marc Zephire Peterson is licensed to practice in Arizona (license number CRNA1248) 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 1609323260.
Provider's Profile
| Full Name | Marc Zephire Peterson |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 101 Civic Center Lane, Lake Havasu, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marc Zephire Peterson graduated from nursing school in 2016
NPI Data:
- NPI Number: 1609323260
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 11/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 6002194826
- Enrollment ID: I20210514000427
Medical Identifiers
Medical identifiers for Marc Zephire Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609323260 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 14-126823-061 (Kansas) | Secondary |
| 163W00000X | Registered Nurse | 5909731-3102 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1248 (Arizona) | Primary |
| 163W00000X | Registered Nurse | RN202234 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cedar Anesthesia Group Llp | 0345240966 | 12 |
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. Marc Zephire Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Cedar Anesthesia Group Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821176132
PECOS PAC ID: 0345240966
Enrollment ID: O20070203000175 |
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| Entity Name | Amsurg St George Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730452814
PECOS PAC ID: 0749442523
Enrollment ID: O20120425000140 |
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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. Marc Zephire 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 |
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Marc Zephire Peterson, CRNA
2770 Squall King Dr,
Lake Havasu City, AZ 86404-3304
Ph: (801) 870-3968 | Marc Zephire Peterson, CRNA
101 Civic Center Lane, Havasu Regional Medical Center,
Lake Havasu, AZ 86403
Ph: (928) 505-5760 |
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