Dr Samuel Nolan Peterson, AUD - Medicare Audiologist in Grants Pass, OR

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Dr Samuel Nolan Peterson, AUD is a medicare enrolled "Audiologist" provider in Grants Pass, Oregon. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 1867 Williams Hwy, Ste. 105, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 474-4694.

Dr Samuel Nolan Peterson is licensed to practice in Oregon (license number 23642) 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 1720332968.

Contact Information

Dr Samuel Nolan Peterson, AUD
1867 Williams Hwy, Ste. 105,
Grants Pass, OR 97527-5854
(541) 474-4694
(541) 474-9590

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Nolan Peterson
GenderMale
SpecialityQualified Audiologist
Experience13 Years
Location1867 Williams Hwy, Grants Pass, Oregon
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:
  • Dr Samuel Nolan Peterson graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1720332968
  • Provider Enumeration Date: 11/08/2012
  • Last Update Date: 11/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6800106956
  • Enrollment ID: I20151211002022

Medical Identifiers

Medical identifiers for Dr Samuel Nolan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720332968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 23642 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc49818784021062

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. Dr Samuel Nolan Peterson allows following entities to bill medicare on his behalf.
Provider NameSt Lukes Clinic-treasure Valley Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Dr Samuel Nolan 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
Dr Samuel Nolan Peterson, AUD
1867 Williams Hwy, Ste. 105,
Grants Pass, OR 97527-5854

Ph: (541) 474-4694		Dr Samuel Nolan Peterson, AUD
1867 Williams Hwy, Ste. 105,
Grants Pass, OR 97527-5854

Ph: (541) 474-4694

Reviews and Comments


Audiologist in Grants Pass, OR

Mr. Carl Stacey Berg, MASTER OF SCIENCE MS
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1867 Williams Hwy, Suite 105, Grants Pass, OR 97527
Phone: 541-474-4694    Fax: 541-474-9590
Mr. Carl Jeffrey Berg, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527
Phone: 541-474-4694    
Craig Berg, AU.D
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527
Phone: 541-474-4694    
Audiology Associates Of Southern Oregon, Inc.
Audiologist
Medicare: Medicare Enrolled
Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527
Phone: 541-474-4694    

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).

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