Dr John Peterson, MD in Santa Clara, CA - Medicare General Practice

Dr John Peterson, MD is a medicare enrolled "General Practice" physician in Santa Clara, California. His current practice location is 700 Lawrence Expy, Dept 200, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (650) 796-8370.

Dr John Peterson is licensed to practice in California (license number A109303) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851419907.

Contact Information

	Dr John Peterson, MD
	700 Lawrence Expy, Dept 200, Santa Clara, CA 95051-5173
	(650) 796-8370
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Peterson
Gender	Male
Speciality	General Practice
Location	700 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851419907
Provider Enumeration Date: 03/27/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6507029717
Enrollment ID: I20120529000130

Medical Identifiers

Medical identifiers for Dr John Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851419907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	A109303 (California)	Primary

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 John Peterson allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 John 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 John Peterson, MD 12693 Roble Veneno Ln, Unit 2, Los Altos Hills, CA 94022-2668 Ph: (650) 796-8370	Dr John Peterson, MD 700 Lawrence Expy, Dept 200, Santa Clara, CA 95051-5173 Ph: (650) 796-8370

Reviews and Comments

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Dr John Peterson, MD - Medicare General Practice in Santa Clara, CA