Kenneth R Petersen, MD in Glendale, AZ - Medicare Internal Medicine

Kenneth R Petersen, MD is a medicare enrolled "Internal Medicine" physician in Glendale, Arizona. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Banner Primary Care Physicians Arizona Llc and his current practice location is 7701 W Aspera Blvd, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 465-6060.

Kenneth R Petersen is licensed to practice in Illinois (license number 036-072554) 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 1912017104.

Contact Information

	Kenneth R Petersen, MD
	7701 W Aspera Blvd, Glendale, AZ 85308-7947
	(623) 465-6060
	(623) 242-5833

Map and Direction

Physician's Profile

Full Name	Kenneth R Petersen
Gender	Male
Speciality	Internal Medicine
Experience	41 Years
Location	7701 W Aspera Blvd, Glendale, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth R Petersen attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1983

NPI Data:

NPI Number: 1912017104
Provider Enumeration Date: 08/30/2006
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3173571973
Enrollment ID: I20211129002333

Medical Identifiers

Medical identifiers for Kenneth R Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912017104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036-072554 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Primary Care Physicians Arizona Llc	6406020155	182

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. Kenneth R Petersen allows following entities to bill medicare on his behalf.

Entity Name	Banner Primary Care Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898

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. Kenneth R 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 Address	Practice Location Address
Kenneth R Petersen, MD 7702 N Alpine Rd, Loves Park, IL 61111-3107 Ph: (815) 971-2000	Kenneth R Petersen, MD 7701 W Aspera Blvd, Glendale, AZ 85308-7947 Ph: (623) 465-6060

Reviews and Comments

Internal Medicine Doctors in Glendale, AZ

Dr. Stephanie D Martinez Hawthorne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2109 Fax: 623-707-4893
Dr. Sanjay B Kulkarni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 Phone: 602-865-2627 Fax: 602-865-2632
Arya John Nikamal, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5555 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-865-5555
David Warfield, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5601 W Eugie Ave Ste 203, Glendale, AZ 85304 Phone: 602-633-3833 Fax: 602-633-3834
Anne Margaret Floyd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5620 W Thunderbird Rd Ste H3, Glendale, AZ 85306 Phone: 480-994-5012
Dr. Karen Brenda Alonso, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W. Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 Phone: 602-865-2627 Fax: 602-865-2632
Dr. Abrar U Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 W Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 Phone: 602-865-2627 Fax: 602-865-2631

Kenneth R Petersen, MD - Medicare Internal Medicine in Glendale, AZ