Dr Clark E Petersen, MD in Layton, UT - Medicare Anesthesiology

Dr Clark E Petersen, MD is a medicare enrolled "Anesthesiology" physician in Layton, Utah. He went to Saint Louis University School Of Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Anesthesiology. His current practice location is 1544 W Antelope Dr, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 773-3339.

Dr Clark E Petersen is licensed to practice in Utah (license number 3609501205) 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 1275519894.

Contact Information

	Dr Clark E Petersen, MD
	1544 W Antelope Dr, Layton, UT 84041-1146
	(801) 773-3339
	(801) 773-6727

Map and Direction

Physician's Profile

Full Name	Dr Clark E Petersen
Gender	Male
Speciality	Anesthesiology
Experience	36 Years
Location	1544 W Antelope Dr, Layton, Utah
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:

Dr Clark E Petersen attended and graduated from Saint Louis University School Of Medicine in 1989

NPI Data:

NPI Number: 1275519894
Provider Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9032005988
Enrollment ID: I20040226000484

Medical Identifiers

Medical identifiers for Dr Clark E Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275519894	NPI	-	NPPES
87057151003	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	3609501205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davis Hospital And Medical Center	Layton, UT	Hospital

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 Clark E Petersen allows following entities to bill medicare on his behalf.

Entity Name	Layton Ambulatory Anesthesia, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950286 PECOS PAC ID: 6406882000 Enrollment ID: O20050714000874

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 Clark E Petersen 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
Dr Clark E Petersen, MD 2551 Lewis Park Dr, Bountiful, UT 84010-5762 Ph: (801) 299-1215	Dr Clark E Petersen, MD 1544 W Antelope Dr, Layton, UT 84041-1146 Ph: (801) 773-3339

Reviews and Comments

Anesthesiology Doctors in Layton, UT

Dr. Brian Clint Hales, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-774-7140
Mark Robert Gillis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-1000
Dr. Nathan J Hess, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-1000
Dr. Ryan B Springer, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 602-332-5728
Joshua M Shepherd, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4040
Bryan Holbrook, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1544 W Antelope Dr, Layton, UT 84041 Phone: 801-773-3339

Dr Clark E Petersen, MD - Medicare Anesthesiology in Layton, UT