Dr Kenneth A Peterson, OD in Pismo Beach, CA - Medicare Optometry Provider

Dr Kenneth A Peterson, OD is a medicare enrolled "Optometrist" provider in Pismo Beach, California. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Optometry. His current practice location is 911 Oak Park Blvd Ste 104, Pismo Beach, California. You can reach out to his office (for appointments etc.) via phone at (805) 473-9393.

Dr Kenneth A Peterson is licensed to practice in California (license number 9884T) 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 1871565788.

Contact Information

	Dr Kenneth A Peterson, OD
	911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406
	(805) 473-9393
	(805) 473-1974

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth A Peterson
Gender	Male
Speciality	Optometry
Experience	27 Years
Location	911 Oak Park Blvd Ste 104, Pismo Beach, California
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:

Dr Kenneth A Peterson graduated from medical school in 1998

NPI Data:

NPI Number: 1871565788
Provider Enumeration Date: 02/03/2006
Last Update Date: 02/06/2008

Medicare PECOS Information:

PECOS PAC ID: 6204736283
Enrollment ID: I20040113000703

Medical Identifiers

Medical identifiers for Dr Kenneth A Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871565788	NPI	-	NPPES
SD0098840	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9884T (California)	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. Dr Kenneth A Peterson allows following entities to bill medicare on his behalf.

Provider Name	Ken P Optometry Corp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497133011 PECOS PAC ID: 9234449265 Enrollment ID: O20151104000157

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. Dr Kenneth A 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
Dr Kenneth A Peterson, OD 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406 Ph: (805) 473-9393	Dr Kenneth A Peterson, OD 911 Oak Park Blvd Ste 104, Pismo Beach, CA 93449-3406 Ph: (805) 473-9393

Reviews and Comments

Optometrist in Pismo Beach, CA

Scott Eric Schachter, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 300 James Way, Suite 210, Pismo Beach, CA 93449 Phone: 805-773-6000 Fax: 805-773-2120
Dr. Mona Kaur Gill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 James Way Ste 210, Pismo Beach, CA 93449 Phone: 805-773-6000 Fax: 805-773-2120
Dr. Ken Peterson Family Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 911 Oak Park Blvd, Suite 104, Pismo Beach, CA 93449 Phone: 805-473-9393 Fax: 805-473-1974
Advanced Eyecare-eyewear Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 300 James Way Ste 210, Pismo Beach, CA 93449 Phone: 805-773-6000 Fax: 805-773-2120
Dr. Dennis Raoul Richardson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 573 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-773-4700 Fax: 323-296-1062
Michael E. Jacobs, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 573 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-773-4700 Fax: 805-773-4248

Dr Kenneth A Peterson, OD - Medicare Optometrist in Pismo Beach, CA