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

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 35 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 NameDr Clark E Petersen
GenderMale
SpecialityAnesthesiology
Experience35 Years
Location1544 W Antelope Dr, Layton, Utah
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 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.
IdentifierTypeStateIssuer
1275519894NPI-NPPES
87057151003MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 3609501205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davis Hospital And Medical CenterLayton, UTHospital

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 NameLayton Ambulatory Anesthesia, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
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: Medicare Enrolled
Practice Location: 1544 W Antelope Dr, Layton, UT 84041
Phone: 801-773-3339    

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.