Dean Kyle Peterson, MD in Tualatin, OR - Medicare Internal Medicine

Dean Kyle Peterson, MD is a medicare enrolled "Internal Medicine" physician in Tualatin, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Clinics Llc and his current practice location is 19300 Sw 65th Ave, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-8407.

Dean Kyle Peterson is licensed to practice in Oregon (license number MD186971) 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 1033559869.

Contact Information

	Dean Kyle Peterson, MD
	19300 Sw 65th Ave, Tualatin, OR 97062
	(503) 413-8407
	(503) 413-6951

Map and Direction

Physician's Profile

Full Name	Dean Kyle Peterson
Gender	Male
Speciality	Internal Medicine
Experience	9 Years
Location	19300 Sw 65th Ave, Tualatin, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dean Kyle Peterson attended and graduated from Oregon Health Sciences University School Of Medicine in 2015

NPI Data:

NPI Number: 1033559869
Provider Enumeration Date: 06/25/2013
Last Update Date: 07/05/2018

Medicare PECOS Information:

PECOS PAC ID: 2668789876
Enrollment ID: I20180808000916

Medical Identifiers

Medical identifiers for Dean Kyle Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033559869	NPI	-	NPPES
PG178578	Other	OR	OREGON MEDICAL BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PG178578 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	MD186971 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	603

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. Dean Kyle Peterson allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Silverton Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172

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. Dean Kyle 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
Dean Kyle Peterson, MD Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900	Dean Kyle Peterson, MD 19300 Sw 65th Ave, Tualatin, OR 97062 Ph: (503) 413-8407

Reviews and Comments

Internal Medicine Doctors in Tualatin, OR

Jaymee E Delaney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave, Ste 270, Tualatin, OR 97062 Phone: 503-352-0770
Jessica Kazue Haraga, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19250 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-692-3750 Fax: 503-691-2324
Dr. Benito G Pataroque, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6485 Sw Borland Rd, Suite D, Tualatin, OR 97062 Phone: 503-692-3647 Fax: 503-691-1670
Dr. Tammi Kaye Boston, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663
Dr. William H Treuhaft, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6485 Sw Borland Rd, Suite F, Tualatin, OR 97062 Phone: 503-413-3650 Fax: 503-413-3644
Dr. Mark Leo Mckinstry, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663

Dean Kyle Peterson, MD - Medicare Internal Medicine in Tualatin, OR