Jacob R Peterson, AA - Medicare Anesthesiology Assistant in La Crosse, WI

Jacob R Peterson, AA is a medicare enrolled "Anesthesiologist Assistant" in La Crosse, Wisconsin. He graduated from nursing school in 2006 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Gundersen Lutheran Medical Center, Inc. and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Jacob R Peterson is licensed to practice in * (Not Available) (license number ) 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 1235249442.

Contact Information

1836 South Ave
La Crosse
WI 54601-5429
(608) 782-7300
Not Available

Map and Direction


Provider's Profile

Full NameJacob R Peterson
GenderMale
SpecialityAnesthesiology Assistant
Experience11 Years
LocationLa Crosse, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob R Peterson graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1235249442
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496752669
  • Enrollment ID: I20061031000529

Medical Identifiers

Medical identifiers for Jacob R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235249442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

Hospital Affiliation

Hospital NameLocationType
Gundersen Lutheran Medical CenterLa crosse, WIAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center, Inc.2163331414552

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. Jacob R Peterson allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031113000579
Entity NameGundersen Lutheran Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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. Jacob R Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) No
Committed to heart health through the Million Hearts Initiative No

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob R Peterson, AA
1836 South Ave
La Crosse
WI 54601-5429

Ph: (608) 782-7300
Jacob R Peterson, AA
1836 South Ave
La Crosse
WI 54601-5429

Ph: (608) 782-7300

Reviews and Comments

Anesthesiologist Assistant Nurses in La Crosse, WI

Chi-seng Lam, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Stewart Nicholas Heaton, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Jennifer Nguyen, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7309    
Scott David Loberg, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Leanna Marie Duerst, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Iyad A Saleh, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 800-362-9567    Fax: 608-775-6758

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.