Dr Kenneth Wendell Petersen, DO - Medicare Orthopedic Surgery in Harrisonville, MO

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Dr Kenneth Wendell Petersen, DO is a medicare enrolled "Orthopaedic Surgery" physician in Harrisonville, Missouri. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1999 and has 27 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Cass Regional Medical Center, Cass Regional Medical Center, Select Physical Therapy Holdings Inc and his current practice location is 2820 E Rock Haven Rd, Suite # 120, Harrisonville, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 380-7662.

Dr Kenneth Wendell Petersen is licensed to practice in Missouri (license number 2013002819) 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 1568637395.

Contact Information

Dr Kenneth Wendell Petersen, DO
2820 E Rock Haven Rd, Suite # 120,
Harrisonville, MO 64701-4411
(816) 380-7662
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Wendell Petersen
GenderMale
SpecialityOrthopedic Surgery
Experience27 Years
Location2820 E Rock Haven Rd, Harrisonville, Missouri
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 Kenneth Wendell Petersen attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1999
  NPI Data:
  • NPI Number: 1568637395
  • Provider Enumeration Date: 04/23/2008
  • Last Update Date: 10/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5193899573
  • Enrollment ID: I20080801000635

Medical Identifiers

Medical identifiers for Dr Kenneth Wendell Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568637395NPI-NPPES
200570110AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 05-33327 (Kansas)Secondary
207X00000XOrthopaedic Surgery 2013002819 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cass Regional Medical CenterHarrisonville, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cass Regional Medical Center751785378140
Cass Regional Medical Center751785378140
Select Physical Therapy Holdings Inc95370764011463

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 Kenneth Wendell 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 Kenneth Wendell Petersen, DO
2800 E Rock Haven Rd,
Harrisonville, MO 64701-4411

Ph: (816) 380-3474		Dr Kenneth Wendell Petersen, DO
2820 E Rock Haven Rd, Suite # 120,
Harrisonville, MO 64701-4411

Ph: (816) 380-7662

Reviews and Comments


Orthopaedic Surgery Doctors in Harrisonville, MO

Tyson Kelly Travis, D.O.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701
Phone: 816-380-7662    
Dr. Danny K Carroll, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2820 E Rock Haven Rd, Harrisonville, MO 64701
Phone: 816-380-7662    Fax: 816-887-2192

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.