Katlyn Rene Peterson, OD in Portland, OR - Medicare Optometry Provider

Katlyn Rene Peterson, OD is a medicare enrolled "Optometrist" provider in Portland, Oregon. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Health Northwest Pc and her current practice location is 1955 Nw Northrup St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 227-2020.

Katlyn Rene Peterson is licensed to practice in Oregon (license number ATI4633) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538768007.

Contact Information

	Katlyn Rene Peterson, OD
	1955 Nw Northrup St, Portland, OR 97209-1614
	(503) 227-2020
	(503) 222-0614

Map and Direction

Healthcare Provider's Profile

Full Name	Katlyn Rene Peterson
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	1955 Nw Northrup St, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katlyn Rene Peterson attended and graduated from University Of Missouri St Louis - School Of Optometry in 2020

NPI Data:

NPI Number: 1538768007
Provider Enumeration Date: 10/25/2020
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5193138329
Enrollment ID: I20220621001784

Medical Identifiers

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

Identifier	Type	State	Issuer
1538768007	NPI	-	NPPES
500807355	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ATI4633 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Health Northwest Pc	9234039926	57

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. Katlyn Rene Peterson allows following entities to bill medicare on her behalf.

Provider Name	Eye Health Northwest Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619959731 PECOS PAC ID: 9234039926 Enrollment ID: O20040109000739

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. Katlyn Rene 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
Katlyn Rene Peterson, OD Po Box 22009, Portland, OR 97269-2009 Ph: (503) 558-7372	Katlyn Rene Peterson, OD 1955 Nw Northrup St, Portland, OR 97209-1614 Ph: (503) 227-2020

Reviews and Comments

Optometrist in Portland, OR

Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788
Steven J. Clouse, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574
Hendrix & Mcguire Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482

Katlyn Rene Peterson, OD - Medicare Optometrist in Portland, OR