Dr Lauris J Petersen, MD - Medicare Family Practice in Glenville, NY

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Dr Lauris J Petersen, MD is a medicare enrolled "Family Medicine" physician in Glenville, New York. He went to Georgetown University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. His current practice location is 15 Glenridge Rd, Glenville, New York. You can reach out to his office (for appointments etc.) via phone at (518) 399-0909.

Dr Lauris J Petersen is licensed to practice in New York (license number 213320) 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 1629152301.

Contact Information

Dr Lauris J Petersen, MD
15 Glenridge Rd,
Glenville, NY 12302-4520
(518) 399-0909
(518) 399-2640

Map and Direction




Physician's Profile

Full NameDr Lauris J Petersen
GenderMale
SpecialityFamily Practice
Experience30 Years
Location15 Glenridge Rd, Glenville, New York
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 Lauris J Petersen attended and graduated from Georgetown University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1629152301
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648254995
  • Enrollment ID: I20040617000227

Medical Identifiers

Medical identifiers for Dr Lauris J Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629152301NPI-NPPES
000491234003OtherNYBLUE SHIELD OF NENY
76V271OtherNYEMPIRE BLUE
10031080OtherNYCDPHP
714547OtherNYMVP
P00315575OtherNYRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 213320 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Peter's HospitalAlbany, NYHospital
Ellis HospitalSchenectady, NYHospital

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 Lauris J Petersen allows following entities to bill medicare on his behalf.
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033371166
PECOS PAC ID: 6406740273
Enrollment ID: O20040402000837
Entity NameLauris J. Petersen Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659563989
PECOS PAC ID: 9638153976
Enrollment ID: O20040615001124
Entity NameSaratoga Regional Medical , P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982094827
PECOS PAC ID: 9032438544
Enrollment ID: O20150505002182

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 Lauris J 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 Lauris J Petersen, MD
5 Monarda Dr,
Scotia, NY 12302-4202

Ph: () -		Dr Lauris J Petersen, MD
15 Glenridge Rd,
Glenville, NY 12302-4520

Ph: (518) 399-0909

Reviews and Comments


Family Medicine Doctors in Glenville, NY

Khyber Khan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 Saratoga Rd, Glenville, NY 12302
Phone: 518-243-3360    Fax: 518-243-3375

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.