Bryant Lewis Peterson, CRNA in Salt Lake City, UT - Medicare Certified Registered Nurse Anesthetist (crna)

Bryant Lewis Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salt Lake City, Utah. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Western Anesthesia Associates Llc and his current practice location is 8th Ave C Street, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 408-3350.

Bryant Lewis Peterson is licensed to practice in Utah (license number 5252922-4406) 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 1174794127.

Contact Information

	Bryant Lewis Peterson, CRNA
	8th Ave C Street, Salt Lake City, UT 84143-0001
	(801) 408-3350
	(770) 701-6675

Map and Direction

Provider's Profile

Full Name	Bryant Lewis Peterson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	8th Ave C Street, Salt Lake City, 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:

Bryant Lewis Peterson graduated from nursing school in 2008

NPI Data:

NPI Number: 1174794127
Provider Enumeration Date: 03/18/2008
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 0547349615
Enrollment ID: I20170427001001

Medical Identifiers

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

Identifier	Type	State	Issuer
1174794127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	N37726 (Idaho)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA-717 (Idaho)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	5252922-4406 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeview Hospital	Bountiful, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western Anesthesia Associates Llc	3274590856	14

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. Bryant Lewis Peterson allows following entities to bill medicare on his behalf.

Entity Name	Brigham Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710904800 PECOS PAC ID: 9335108299 Enrollment ID: O20041006000807

Entity Name	Western Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174566277 PECOS PAC ID: 3274590856 Enrollment ID: O20041215000445

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	Nph Anesthesia Of Utah Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268

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. Bryant Lewis 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
Bryant Lewis Peterson, CRNA Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 432-2600	Bryant Lewis Peterson, CRNA 8th Ave C Street, Salt Lake City, UT 84143-0001 Ph: (801) 408-3350

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Salt Lake City, UT

Matthew S Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1954 Fort Union Blvd Ste 114, Salt Lake City, UT 84121 Phone: 800-594-5736
William R Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9427
Lauren L Roser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue C Street, Salt Lake City, UT 84143 Phone: 801-727-2056 Fax: 770-701-6675
Mr. Craig E Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 65 N Medical Dr, Surgery Department, Salt Lake City, UT 84132 Phone: 801-581-3195
Robert Edison Steele, RN, BSN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-792-5809
Roger Sausedo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9427
Laura Marie Hertzel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 913-707-4773

Bryant Lewis Peterson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Salt Lake City, UT