Brayden Petersen, OD in Sandpoint, ID - Medicare Optometry Provider

Brayden Petersen, OD is a medicare enrolled "Optometrist" provider in Sandpoint, Idaho. He went to Pacific University - College Of Optometry and graduated in 2019 and has 5 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Clinic Of Sandpoint Pa and his current practice location is 307 S 1st Ave, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 263-8501.

Brayden Petersen is licensed to practice in Idaho (license number ODP100472) 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 1932767753.

Contact Information

	Brayden Petersen, OD
	307 S 1st Ave, Sandpoint, ID 83864-1201
	(208) 263-8501
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brayden Petersen
Gender	Male
Speciality	Optometry
Experience	5 Years
Location	307 S 1st Ave, Sandpoint, Idaho
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:

Brayden Petersen attended and graduated from Pacific University - College Of Optometry in 2019

NPI Data:

NPI Number: 1932767753
Provider Enumeration Date: 06/05/2019
Last Update Date: 08/08/2019

Medicare PECOS Information:

PECOS PAC ID: 4385971977
Enrollment ID: I20190805002522

Medical Identifiers

Medical identifiers for Brayden Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932767753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD60970822 (Washington)	Secondary
152W00000X	Optometrist	ODP100472 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Clinic Of Sandpoint Pa	3678541018	2

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. Brayden Petersen allows following entities to bill medicare on his behalf.

Provider Name	Eye Clinic Of Sandpoint Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215945431 PECOS PAC ID: 3678541018 Enrollment ID: O20040922001144

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. Brayden 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 Address	Practice Location Address
Brayden Petersen, OD 307 S 1st Ave, Sandpoint, ID 83864-1201 Ph: (208) 263-8501	Brayden Petersen, OD 307 S 1st Ave, Sandpoint, ID 83864-1201 Ph: (208) 263-8501

Reviews and Comments

Optometrist in Sandpoint, ID

Dr. Terri L Haley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-7965
Mountain Vision Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-4510
Dr. Don C. H. Henker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448
Thomas Marvin Wiley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448
Dr. Julie Beth Gagnon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 W Superior St, Ste A, Sandpoint, ID 83864 Phone: 208-263-9000 Fax: 208-263-9589
Jason Petersen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 307 S 1st Ave, Sandpoint, ID 83864 Phone: 208-263-8501
Dr. Jeremiah Gagnon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 710 W Superior St Ste B, Sandpoint, ID 83864 Phone: 208-263-9000

Brayden Petersen, OD - Medicare Optometrist in Sandpoint, ID