Dr Carl Roy Peterson Iii, MD, MS - Medicare Radiation Oncology in Boardman, OH

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Dr Carl Roy Peterson Iii, MD, MS is a medicare enrolled "Radiology - Radiation Oncology" physician in Boardman, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc, Neo Urology Associates Inc, Triad Health Services Llc and his current practice location is 8401 Market St, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 629-7500.

Dr Carl Roy Peterson Iii is licensed to practice in Ohio (license number 35.123850) 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 1114151230.

Contact Information

Dr Carl Roy Peterson Iii, MD, MS
8401 Market St,
Boardman, OH 44512-6725
(330) 629-7500
(330) 629-7504

Map and Direction




Physician's Profile

Full NameDr Carl Roy Peterson Iii
GenderMale
SpecialityRadiation Oncology
Experience15 Years
Location8401 Market St, Boardman, 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:
  • Dr Carl Roy Peterson Iii attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2009
  NPI Data:
  • NPI Number: 1114151230
  • Provider Enumeration Date: 05/04/2009
  • Last Update Date: 12/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2062639016
  • Enrollment ID: I20140814001662

Medical Identifiers

Medical identifiers for Dr Carl Roy Peterson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114151230NPI-NPPES
0107099MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 35.123850 (Ohio)Primary
2085R0001XRadiology - Radiation Oncology 35.091496 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth Youngstown HospitalYoungstown, OHHospital
Mh St Joseph Warren HospitalWarren, OHHospital
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
Surgical Hospital At SouthwoodsYoungstown, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Youngstown Specialty Care Llc3476950296389
Neo Urology Associates Inc862808803616
Triad Health Services Llc9032367917187

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 Carl Roy Peterson Iii allows following entities to bill medicare on his behalf.
Entity NameNeo Urology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598798878
PECOS PAC ID: 8628088036
Enrollment ID: O20060501000243
Entity NameMercy Health Physicians Youngstown, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154636066
PECOS PAC ID: 9234318270
Enrollment ID: O20110124000753
Entity NameTriad Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787
Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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 Carl Roy Peterson Iii 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 Carl Roy Peterson Iii, MD, MS
8401 Market St,
Boardman, OH 44512-6725

Ph: (330) 629-7500		Dr Carl Roy Peterson Iii, MD, MS
8401 Market St,
Boardman, OH 44512-6725

Ph: (330) 629-7500

Reviews and Comments


Radiology Doctors in Boardman, OH

Patrizia Guerrieri, M.D.
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Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-7530    Fax: 330-629-7504
Richard J Loges Iii, MD
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Practice Location: 965 Windham Ct Ste 2, # 2, Boardman, OH 44512
Phone: 330-629-9400    Fax: 330-629-9441
Rashad El-dabh, M.D.
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Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-629-7500    Fax: 330-629-7504
Dr. Richard Anthony Amato, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-2729    Fax: 330-572-3836
Dr. Albert M Bleggi, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 819 Mckay Ct, Boardman, OH 44512
Phone: 330-726-2071    Fax: 330-726-9007

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.