Olusanmi Peters, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canoga Park, California. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Digestive Health Associates Of Southern California and his current practice location is
6939 Alabama Ave Unit 117, Canoga Park, California. You can reach out to his office (for appointments etc.) via phone at
(818) 415-2824.
Olusanmi Peters is licensed to practice in California (license number 4083) 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 1811280084.
Provider's Profile
| Full Name | Olusanmi Peters |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 6939 Alabama Ave Unit 117, Canoga Park, California |
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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:
- Olusanmi Peters graduated from nursing school in 2011
NPI Data:
- NPI Number: 1811280084
- Provider Enumeration Date: 05/20/2011
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234303215
- Enrollment ID: I20111201000432
Medical Identifiers
Medical identifiers for Olusanmi Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811280084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 4083 (California) | Primary |
| 163W00000X | Registered Nurse | 727907 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Digestive Health Associates Of Southern California | 3375806888 | 14 |
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. Olusanmi Peters allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Digestive Health Associates Of Southern California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639604747
PECOS PAC ID: 3375806888
Enrollment ID: O20180416002250 |
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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. Olusanmi Peters 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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Olusanmi Peters,
Po Box 307,
Canoga Park, CA 91305-0307
Ph: () - | Olusanmi Peters,
6939 Alabama Ave Unit 117,
Canoga Park, CA 91303-2038
Ph: (818) 415-2824 |
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