Jason Trent Peterson, OD is a medicare enrolled "Optometrist" provider in Eagle Mountain, Utah. He went to Pacific University - College Of Optometry and graduated in 2017 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eagle Vision and his current practice location is
4408 E Pony Express Pkwy Ste A, Eagle Mountain, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 789-3937.
Jason Trent Peterson is licensed to practice in Utah (license number 10382337-9934) 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 1760837066.
Healthcare Provider's Profile
| Full Name | Jason Trent Peterson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 8 Years |
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| Location | 4408 E Pony Express Pkwy Ste A, Eagle Mountain, Utah |
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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:
- Jason Trent Peterson attended and graduated from Pacific University - College Of Optometry in 2017
NPI Data:
- NPI Number: 1760837066
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 06/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315219920
- Enrollment ID: I20170816004065
Medical Identifiers
Medical identifiers for Jason Trent Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760837066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 10382337-9934 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eagle Vision | 0547488371 | 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. Jason Trent Peterson allows following entities to bill medicare on his behalf.
| Provider Name | Eagle Vision |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750791943
PECOS PAC ID: 0547488371
Enrollment ID: O20140820000888 |
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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. Jason Trent 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 |
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Jason Trent Peterson, OD
7732 N Red Oak Rd,
Eagle Mountain, UT 84005-4303
Ph: (801) 644-3046 | Jason Trent Peterson, OD
4408 E Pony Express Pkwy Ste A,
Eagle Mountain, UT 84005-5564
Ph: (801) 789-3937 |
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