Mr Lauren L Peterson Jr, CRNA in Maumee, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Lauren L Peterson Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maumee, Ohio. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Promedica Central Physicians and his current practice location is 7764 Forest Creek Ct, Maumee, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 690-7652.

Mr Lauren L Peterson Jr is licensed to practice in Ohio (license number RN255183) 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 1669490140.

Contact Information

	Mr Lauren L Peterson Jr, CRNA
	7764 Forest Creek Ct, Maumee, OH 43537-9140
	(419) 690-7652
	(419) 697-7726

Map and Direction

Provider's Profile

Full Name	Mr Lauren L Peterson Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	25 Years
Location	7764 Forest Creek Ct, Maumee, Ohio
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:

Mr Lauren L Peterson Jr graduated from nursing school in 1999

NPI Data:

NPI Number: 1669490140
Provider Enumeration Date: 07/17/2006
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8820066541
Enrollment ID: I20040921000579

Medical Identifiers

Medical identifiers for Mr Lauren L Peterson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669490140	NPI	-	NPPES
04097A	Other	OH	PHC
000000519766	Other	OH	ANTHEM
341881145-003	Other	OH	MMO
000000389988	Other	OH	ANTHEM
P00439234	Other	OH	RRMC
5182102	Medicaid	MI
2150569	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA04744 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN255183 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	827

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. Mr Lauren L Peterson Jr allows following entities to bill medicare on his behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Mr Lauren L Peterson Jr 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
Mr Lauren L Peterson Jr, CRNA 7764 Forest Creek Ct, Maumee, OH 43537-9140 Ph: (419) 868-8329	Mr Lauren L Peterson Jr, CRNA 7764 Forest Creek Ct, Maumee, OH 43537-9140 Ph: (419) 690-7652

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Maumee, OH

Gwendolyn Leigh Colyer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370
James C. Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370
Marcia K Carroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370
William Albert Schwartz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370
Angela J. White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 Fax: 419-897-8379
Joanne Elaine Rush, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370
Mary M. Turnbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370

Mr Lauren L Peterson Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Maumee, OH