Russell S Petersen, MD in Murray, UT - Medicare Anesthesiology

Russell S Petersen, MD is a medicare enrolled "Anesthesiology" physician in Murray, Utah. He went to University Of Utah School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mountain West Anesthesia Llc and his current practice location is 5121 S Cottonwood Street, Intermountain Medical Center, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-5248.

Russell S Petersen is licensed to practice in Utah (license number 91-184977-1205) 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 1972615474.

Contact Information

	Russell S Petersen, MD
	5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
	(801) 507-5248
	(801) 733-5618

Map and Direction

Physician's Profile

Full Name	Russell S Petersen
Gender	Male
Speciality	Anesthesiology
Experience	34 Years
Location	5121 S Cottonwood Street, Murray, Utah
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:

Russell S Petersen attended and graduated from University Of Utah School Of Medicine in 1990

NPI Data:

NPI Number: 1972615474
Provider Enumeration Date: 08/31/2006
Last Update Date: 10/15/2012

Medicare PECOS Information:

PECOS PAC ID: 0648469338
Enrollment ID: I20110111000910

Medical Identifiers

Medical identifiers for Russell S Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972615474	NPI	-	NPPES
1502954	Other	UT	UMWA
PRA04891	Other	UT	MOLINA
73574	Other	UT	PEHP
QM0000075886	Other	UT	ALTIUS
002086882	Medicaid	NV
2090168	Other	UT	UNITED HEALTHCARE
756601	Other	UT	DESERET MUTUAL
112774800	Medicaid	WY
107006198101	Other	UT	IHC
804075500	Medicaid	ID
840935	Medicaid	AZ
53263	Other	UT	HEALTHY U
538587317	Other	UT	MAILHANDLERS
870545614PE1	Other	UT	EDUCATORS MUTUAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	91-184977-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Medical Center	Murray, UT	Hospital
The Orthopedic Specialty Hospital	Murray, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain West Anesthesia Llc	9032018502	248

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. Russell S Petersen allows following entities to bill medicare on his behalf.

Entity Name	Mountain West Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057

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. Russell S 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
Russell S Petersen, MD 3340 North Center St #800, Lehi, UT 84043-7406 Ph: (801) 990-1911	Russell S Petersen, MD 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Ph: (801) 507-5248

Reviews and Comments

Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675
Mr. Joshua C Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675
Scott Nathan Hurst, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618

Russell S Petersen, MD - Medicare Anesthesiology in Murray, UT