Dr James Allen Kraft Peterson, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sierra Madre, California. He graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
145 Oak Meadow Rd, Sierra Madre, California. You can reach out to his office (for appointments etc.) via phone at
(415) 793-3269.
Dr James Allen Kraft Peterson is licensed to practice in California (license number 20A8715) 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 1376545863.
Physician's Profile
| Full Name | Dr James Allen Kraft Peterson |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 23 Years |
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| Location | 145 Oak Meadow Rd, Sierra Madre, California |
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| 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 James Allen Kraft Peterson graduated from medical school in 2002
NPI Data:
- NPI Number: 1376545863
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 11/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 8820220635
- Enrollment ID: I20140409002275
Medical Identifiers
Medical identifiers for Dr James Allen Kraft Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376545863 | NPI | - | NPPES |
| 1376545863 | Medicaid | NV | |
| 1376545863 | Medicaid | CA | |
| P01361869 | Other | CA | RR MEDICARE DRS |
| P01361871 | Other | CA | RR MEDICARE DR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085B0100X | Radiology - Body Imaging | 20A8715 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 20A8715 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Permanente Medical Group Inc | 8921910225 | 8867 |
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 James Allen Kraft Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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| Entity Name | Valley Radiology Consultants Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205897568 PECOS PAC ID: 4688572639 Enrollment ID: O20031229000627 |
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| Entity Name | Imaging Associates Of Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20170809000101 |
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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 James Allen Kraft 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 |
Dr James Allen Kraft Peterson, DO 2020 Palomino Lane, Suite 100, Las Vegas, NV 89106-4894 Ph: (702) 759-8600 | Dr James Allen Kraft Peterson, DO 145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 Ph: (415) 793-3269 |
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