Dr Katherine A Petersen, MD in Savannah, GA

Dr Katherine A Petersen, MD is a medicare enrolled "Surgery" physician in Savannah, Georgia. Her current practice location is 5354 Reynolds St Ste 202, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 352-0920.

Dr Katherine A Petersen is licensed to practice in Georgia (license number 82882) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508170457.

Contact Information

	Dr Katherine A Petersen, MD
	5354 Reynolds St Ste 202, Savannah, GA 31405-6009
	(912) 352-0920
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Katherine A Petersen
Gender	Female
Speciality	Surgery
Location	5354 Reynolds St Ste 202, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508170457
Provider Enumeration Date: 08/03/2010
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 2062729437
Enrollment ID: I20160818001431

Medical Identifiers

Medical identifiers for Dr Katherine A Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508170457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	82882 (Georgia)	Primary
207LC0200X	Anesthesiology - Critical Care Medicine	48313 (Kentucky)	Secondary

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 Katherine A Petersen allows following entities to bill medicare on her behalf.

Entity Name	Kentucky Medical Services Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300

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 Katherine A 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 Katherine A Petersen, MD Po Box 919, Rincon, GA 31326-0919 Ph: (912) 352-0920	Dr Katherine A Petersen, MD 5354 Reynolds St Ste 202, Savannah, GA 31405-6009 Ph: (912) 352-0920

Reviews and Comments

Surgery Doctors in Savannah, GA

Liudmila Muraveika, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406 Phone: 912-354-6303 Fax: 912-355-8655
Catherine Ann Ronaghan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St Ste 107, Savannah, GA 31405 Phone: 912-819-7630 Fax: 912-819-5860
Robert Joseph Kelly Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Avenue, 1st Floor Mus Bldg, Savannah, GA 31404 Phone: 912-350-8712 Fax: 912-350-8753
Edward J Cohn Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave, Suite 500, Savannah, GA 31404 Phone: 866-957-8346 Fax: 912-355-1414
Davis Sungwhan Moon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-5515
David Helmar Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 5361 Reynolds St, Savannah, GA 31405 Phone: 912-355-8000 Fax: 912-355-8403
Glenn N Carlos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150

Dr Katherine A Petersen, MD - Medicare Surgery in Savannah, GA