Jenna Peterson, MD in Tualatin, OR - Medicare Internal Medicine

Jenna Peterson, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Tualatin, Oregon. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Legacy Clinics Llc and her current practice location is 19300 Sw 65th Ave, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 525-7660.

Jenna Peterson is licensed to practice in Oregon (license number MD203919) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922460211.

Contact Information

	Jenna Peterson, MD
	19300 Sw 65th Ave, Tualatin, OR 97062-7706
	(503) 525-7660
	Not Available

Map and Direction

Physician's Profile

Full Name	Jenna Peterson
Gender	Female
Speciality	Internal Medicine
Experience	9 Years
Location	19300 Sw 65th Ave, Tualatin, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenna Peterson graduated from medical school in 2016

NPI Data:

NPI Number: 1922460211
Provider Enumeration Date: 03/24/2016
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2860785979
Enrollment ID: I20210716000165

Medical Identifiers

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

Identifier	Type	State	Issuer
1922460211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	63421 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	MD203919 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Emanuel Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	635

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. Jenna Peterson allows following entities to bill medicare on her behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

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. Jenna 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
Jenna Peterson, MD 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 Ph: (509) 481-3217	Jenna Peterson, MD 19300 Sw 65th Ave, Tualatin, OR 97062-7706 Ph: (503) 525-7660

Reviews and Comments

Internal Medicine Doctors in Tualatin, OR

Jaymee E Delaney, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave, Ste 270, Tualatin, OR 97062 Phone: 503-352-0770
Jessica Kazue Haraga, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-692-3750 Fax: 503-691-2324
Dr. Benito G Pataroque, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6485 Sw Borland Rd, Suite D, Tualatin, OR 97062 Phone: 503-692-3647 Fax: 503-691-1670
Dr. Tammi Kaye Boston, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663
Dr. William H Treuhaft, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6485 Sw Borland Rd, Suite F, Tualatin, OR 97062 Phone: 503-413-3650 Fax: 503-413-3644
Dean Kyle Peterson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-413-8407 Fax: 503-413-6951
Dr. Mark Leo Mckinstry, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663

Jenna Peterson, MD - Medicare Internal Medicine in Tualatin, OR