Mr Lynn A Peterson, MSN, CRNA - Medicare Nurse Anesthetist, Certified Registered in Newport, WA

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Mr Lynn A Peterson, MSN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport, Washington. His current practice location is 714 W Pine St, Newport, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 447-2441.

Mr Lynn A Peterson is licensed to practice in Washington (license number AP30006221) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720165160.

Contact Information

Mr Lynn A Peterson, MSN, CRNA
714 W Pine St,
Newport, WA 99156-9046
(509) 447-2441
(509) 447-2281

Map and Direction




Provider's Profile

Full NameMr Lynn A Peterson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location714 W Pine St, Newport, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720165160
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1153381868
  • Enrollment ID: I20041018000284

Medical Identifiers

Medical identifiers for Mr Lynn A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720165160NPI-NPPES
G000381050OtherWAMEDICARE GROUP NUMBER
P00395894OtherWAMEDICARE RAILROAD
CG4026OtherWARAILROAD GROUP NUMBER
9636465MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP30006221 (Washington)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. Mr Lynn A Peterson allows following entities to bill medicare on his behalf.
Entity NamePend Oreille County Public Hospital District No 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427264795
PECOS PAC ID: 3274431184
Enrollment ID: O20031230000017
Entity NamePend Oreille County Public Hospital District No 1
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780778423
PECOS PAC ID: 3274431184
Enrollment ID: O20061104000539

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 Lynn A 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 AddressPractice Location Address
Mr Lynn A Peterson, MSN, CRNA
3412 S Jefferson Dr,
Spokane, WA 99203-1421

Ph: (509) 220-3834		Mr Lynn A Peterson, MSN, CRNA
714 W Pine St,
Newport, WA 99156-9046

Ph: (509) 447-2441

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Newport, WA

Andrew P Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 714 W Pine St, Newport, WA 99156
Phone: 509-447-2441    
Karl Arn Jacobson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 714 W Pine St, Newport, WA 99156
Phone: 509-447-2441    Fax: 509-447-2281

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.