Ronald Kyle Petersen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston-salem, NC

Ronald Kyle Petersen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston-salem, North Carolina. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 1 Medical Center Boulevard, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2011.

Ronald Kyle Petersen is licensed to practice in North Carolina (license number 280909) 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 1720598014.

Contact Information

Ronald Kyle Petersen, CRNA
1 Medical Center Boulevard,
Winston-salem, NC 27103
(336) 716-2011
Not Available

Map and Direction




Provider's Profile

Full NameRonald Kyle Petersen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location1 Medical Center Boulevard, Winston-salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ronald Kyle Petersen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1720598014
  • Provider Enumeration Date: 10/02/2017
  • Last Update Date: 06/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496012908
  • Enrollment ID: I20171207002156

Medical Identifiers

Medical identifiers for Ronald Kyle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720598014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 280909 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649522048

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. Ronald Kyle Petersen allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436

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. Ronald Kyle Petersen 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
Ronald Kyle Petersen, CRNA
180 Rolling Meadow Ln,
Clemmons, NC 27012-6744

Ph: (770) 842-9916
Ronald Kyle Petersen, CRNA
1 Medical Center Boulevard,
Winston-salem, NC 27103

Ph: (336) 716-2011

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Winston-salem, NC

Mrs. Hannah Fortwengler Rainey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvrd, Winston-salem, NC 27101
Phone: 336-716-6701    
Mrs. Vedwattie Moses, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103
Phone: 336-718-5180    
Amy Lynn Good, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Boulevard, Winston-salem, NC 27103
Phone: 336-716-2011    
Kathleen R. Wren, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Drive, Nurse Anesthesia Program, Winston-salem, NC 27157
Phone: 407-303-9331    Fax: 407-303-9578
Rebecca N. Mclean, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103
Phone: 336-718-5000    
Miss Marcia Lynnette Guine, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Boulevard, Winston-salem, NC 27157
Phone: 336-716-3069    
Nancy Cannon Cobb, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27103
Phone: 336-716-6701    

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.