Larry D Petersen, MD - Medicare Anesthesiology in Springfield, MO

Larry D Petersen, MD is a medicare enrolled "Anesthesiology" physician in Springfield, Missouri. His current practice location is 3801 S National Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-4550.

Larry D Petersen is licensed to practice in Missouri (license number MDR7D93) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689617771.

Contact Information

Larry D Petersen, MD
3801 S National Ave,
Springfield, MO 65807-5210
(417) 269-4550
Not Available

Map and Direction




Physician's Profile

Full NameLarry D Petersen
GenderMale
SpecialityAnesthesiology
Location3801 S National Ave, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689617771
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 06/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3375563901
  • Enrollment ID: I20051129000126

Medical Identifiers

Medical identifiers for Larry D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689617771NPI-NPPES
202009619MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MDR7D93 (Missouri)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. Larry D Petersen allows following entities to bill medicare on his behalf.
Entity NameOzark Anesthesia Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831109586
PECOS PAC ID: 1850290149
Enrollment ID: O20040106000363

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. Larry D 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
Larry D Petersen, MD
1000 E Primrose St,
Springfield, MO 65807-5180

Ph: (417) 269-4550
Larry D Petersen, MD
3801 S National Ave,
Springfield, MO 65807-5210

Ph: (417) 269-4550

Reviews and Comments


Anesthesiology Doctors in Springfield, MO

Dr. Dawn E Zablocki, MD
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Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Jeffrey Gunderson, M.D.
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Practice Location: 3801 S National Ave, Springfield, MO 65807
Phone: 417-269-4550    
Dr. David M Delahay Jr., MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Dr. Claude Merrill Ashby, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-6863    
Dr. Youssef Y. Yassa, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Dr. Steven A Ellis, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Kent Schaller, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3801 S National Ave, Springfield, MO 65807
Phone: 417-269-4550    

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.