Nicholas Peterson, CAA - Medicare Anesthesiology Assistant in Willoughby, OH

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Nicholas Peterson, CAA is a medicare enrolled "Anesthesiologist Assistant" in Willoughby, Ohio. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice University Primary Care Practices Inc and his current practice location is 36000 Euclid Ave, Willoughby, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 953-9600.

Nicholas Peterson is licensed to practice in Ohio (license number 67.000388) 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 1386297869.

Contact Information

Nicholas Peterson, CAA
36000 Euclid Ave,
Willoughby, OH 44094-4625
(440) 953-9600
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Peterson
GenderMale
SpecialityAnesthesiology Assistant
Experience5 Years
Location36000 Euclid Ave, Willoughby, Ohio
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:
  • Nicholas Peterson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1386297869
  • Provider Enumeration Date: 07/23/2019
  • Last Update Date: 05/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406186311
  • Enrollment ID: I20210107002063

Medical Identifiers

Medical identifiers for Nicholas Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386297869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 67.000388 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital
Lake Health Beachwood Medical CenterBeachwood, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Primary Care Practices Inc3072417534940

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. Nicholas Peterson allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameOhio Anesthesia Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069

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. Nicholas 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 AddressPractice Location Address
Nicholas Peterson, CAA
7757 Auburn Rd Ste 15,
Concord Township, OH 44077-9604

Ph: (440) 350-0832		Nicholas Peterson, CAA
36000 Euclid Ave,
Willoughby, OH 44094-4625

Ph: (440) 953-9600

Reviews and Comments


Anesthesiologist Assistant Nurses in Willoughby, OH

Todd A Lewis, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-350-0832    Fax: 440-354-7420
Jennifer J.r. Loomis, AA-C
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-350-0832    Fax: 440-354-7420
Jessica Lee, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-350-0832    Fax: 440-354-7420
Anthony J Koury, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-953-9600    
Rebecca C Keating, AA-C
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-350-0832    Fax: 440-579-0191
Ryan A Ferra, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-350-0832    Fax: 440-579-0191

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.