Dr Ryan Jon Petersen, MD - Medicare Emergency Medicine in Roseburg, OR

  1. Home
  2. Emergency Medicine
  3. OR
  4. Roseburg
Dr Ryan Jon Petersen, MD is a medicare enrolled "Emergency Medicine" physician in Roseburg, Oregon. He went to Medical College Of Wisconsin and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Central Oregon Emergency Physicians Llc, Mid-columbia Medical Center and his current practice location is 2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (314) 750-3965.

Dr Ryan Jon Petersen is licensed to practice in Oregon (license number MD125955) 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 1568551521.

Contact Information

Dr Ryan Jon Petersen, MD
2700 Nw Stewart Pkwy, Roseburg Or 97471,
Roseburg, OR 97471-1281
(314) 750-3965
Not Available

Map and Direction




Physician's Profile

Full NameDr Ryan Jon Petersen
GenderMale
SpecialityEmergency Medicine
Experience19 Years
Location2700 Nw Stewart Pkwy, Roseburg, Oregon
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 Ryan Jon Petersen attended and graduated from Medical College Of Wisconsin in 2005
  NPI Data:
  • NPI Number: 1568551521
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749342251
  • Enrollment ID: I20090910000368

Medical Identifiers

Medical identifiers for Dr Ryan Jon Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568551521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD125955 (Oregon)Primary
207P00000XEmergency Medicine BB4745785-2005017258 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Medical Center - BendBend, ORHospital
Mid-columbia Medical CenterThe dalles, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Oregon Emergency Physicians Llc640692621127
Mid-columbia Medical Center377948725193

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 Ryan Jon Petersen allows following entities to bill medicare on his behalf.
Entity NameMid-columbia Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053409599
PECOS PAC ID: 3779487251
Enrollment ID: O20031209000244
Entity NameBay Area Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225016561
PECOS PAC ID: 2163331000
Enrollment ID: O20040310000301
Entity NameHarney District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285742338
PECOS PAC ID: 6800877424
Enrollment ID: O20040528000077
Entity NameCentral Oregon Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376714543
PECOS PAC ID: 6406926211
Enrollment ID: O20080605000639
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780647719
PECOS PAC ID: 6608056171
Enrollment ID: O20130123000079

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 Ryan Jon 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 Ryan Jon Petersen, MD
2700 Nw Stewart Pkwy, Roseburg Or 97471,
Roseburg, OR 97471-1281

Ph: (314) 750-3965		Dr Ryan Jon Petersen, MD
2700 Nw Stewart Pkwy, Roseburg Or 97471,
Roseburg, OR 97471-1281

Ph: (314) 750-3965

Reviews and Comments


Emergency Medicine Doctors in Roseburg, OR

Tami Sue Marriott, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471
Phone: 541-677-4333    
William S Treloar, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470
Phone: 541-677-4313    Fax: 541-677-4533
Dr. David Marc Smith, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470
Phone: 541-584-2345    Fax: 541-584-2345
Dr. Scott Christian Smith, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471
Phone: 541-673-0611    
Dr. Daniel Joseph Hull, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471
Phone: 541-677-2185    Fax: 541-677-2291
Tierney Elizabeth Flodine, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309

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.