Jon Peters, MD in Clackamas, OR - Medicare Family Medicine

Jon Peters, MD is a medicare enrolled "Family Medicine" physician in Clackamas, Oregon. His current practice location is 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 659-0880.

Jon Peters is licensed to practice in Oregon (license number MD18051) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083621312.

Contact Information

	Jon Peters, MD
	10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705
	(503) 659-0880
	(503) 513-7425

Map and Direction

Physician's Profile

Full Name	Jon Peters
Gender	Male
Speciality	Family Medicine
Location	10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083621312
Provider Enumeration Date: 08/01/2006
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8325232150
Enrollment ID: I20120127000903

Medical Identifiers

Medical identifiers for Jon Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083621312	NPI	-	NPPES
050471	Medicaid	OR
080061183	Other	OR	RAILROAD MEDICARE PIN
8125841	Medicaid	WA
048194004	Other	OR	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD18051 (Oregon)	Primary

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. Jon Peters allows following entities to bill medicare on his behalf.

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131

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. Jon Peters 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
Jon Peters, MD 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880	Jon Peters, MD 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880

Reviews and Comments

Family Medicine Doctors in Clackamas, OR

Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880
Carla Jean Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445
Dr. Benjamin Jacob Colburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-494-8211
Guy Whitehead Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880

Jon Peters, MD - Medicare Family Medicine in Clackamas, OR