Ms Claudia L Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Geneva, Wisconsin. Her current practice location is
146 E Geneva Sq, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(877) 666-7223.
Ms Claudia L Peterson is licensed to practice in Wisconsin (license number 141089-30) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265440838.
Provider's Profile
| Full Name | Ms Claudia L Peterson |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 146 E Geneva Sq, Lake Geneva, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265440838
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072403773
- Enrollment ID: I20040317000517
Medical Identifiers
Medical identifiers for Ms Claudia L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265440838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5378-33 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5378-33 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 8463-33 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041178474 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209003080 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 141089-30 (Wisconsin) | 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. Ms Claudia L Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Patient First Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548258072
PECOS PAC ID: 3274446596
Enrollment ID: O20031111000788 |
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| Entity Name | Midwestern Anesthesiology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528567831
PECOS PAC ID: 7012279243
Enrollment ID: O20180327002548 |
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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. Ms Claudia 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 |
|---|
Ms Claudia L Peterson, CRNA
146 E Geneva Sq,
Lake Geneva, WI 53147-9694
Ph: (877) 666-7223 | Ms Claudia L Peterson, CRNA
146 E Geneva Sq,
Lake Geneva, WI 53147
Ph: (877) 666-7223 |
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