Paul Peterson, CRNA in Overland Park, KS - Medicare Certified Registered Nurse Anesthetist (crna)

Paul Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Overland Park, Kansas. He graduated from nursing school in 1988 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice John Fitzgibbon Memorial Hospital Inc and his current practice location is 12300 Metcalf Ave, Anesthesia Dept, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at (816) 389-6030.

Paul Peterson is licensed to practice in Kansas (license number 54581) 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 1861448524.

Contact Information

	Paul Peterson, CRNA
	12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213-1324
	(816) 389-6030
	(816) 389-6034

Map and Direction

Provider's Profile

Full Name	Paul Peterson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	36 Years
Location	12300 Metcalf Ave, Overland Park, Kansas
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:

Paul Peterson graduated from nursing school in 1988

NPI Data:

NPI Number: 1861448524
Provider Enumeration Date: 05/25/2006
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8123045663
Enrollment ID: I20070327000605

Medical Identifiers

Medical identifiers for Paul Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861448524	NPI	-	NPPES
19059024	Other	KS	BCBS NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	54581 (Kansas)	Primary
367500000X	Nurse Anesthetist, Certified Registered	093647 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fitzgibbon Memorial Hospital	Marshall, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John Fitzgibbon Memorial Hospital Inc	2567351570	89

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. Paul Peterson allows following entities to bill medicare on his behalf.

Entity Name	John Fitzgibbon Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730182478 PECOS PAC ID: 2567351570 Enrollment ID: O20040315000980

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. Paul 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
Paul Peterson, CRNA 9233 Ward Pkwy, Suite 230, Kansas City, MO 64114-3366 Ph: (816) 389-6030	Paul Peterson, CRNA 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213-1324 Ph: (816) 389-6030

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Overland Park, KS

Gay Ann Colliton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034
Sonya Jurgens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 Fax: 913-428-2951
Carol Lynn Russell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 200, Overland Park, KS 66211 Phone: 913-491-3040
Reed Tenney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900
Mrs. Valerie Lynn Wilen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 816-763-5446
Alexis Zecy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10203 Bond St, Overland Park, KS 66214 Phone: 913-522-1114
Ann Squire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034

Paul Peterson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Overland Park, KS