Leif Eric Petterson Jr, NP in Redmond, OR - Medicare Nurse Practitioner

Leif Eric Petterson Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Redmond, Oregon. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mosaic Community Health, Mosaic Community Health and his current practice location is 1250 Sw Veterans Way Ste 120, Redmond, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 383-3005.

Leif Eric Petterson Jr is licensed to practice in Oregon (license number 202008709NP-PP) 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 1730559360.

Contact Information

	Leif Eric Petterson Jr, NP
	1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588
	(541) 383-3005
	(541) 383-1883

Map and Direction

Provider's Profile

Full Name	Leif Eric Petterson Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1250 Sw Veterans Way Ste 120, Redmond, Oregon
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:

Leif Eric Petterson Jr graduated from nursing school in 2015

NPI Data:

NPI Number: 1730559360
Provider Enumeration Date: 09/24/2015
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8820379720
Enrollment ID: I20170109002133

Medical Identifiers

Medical identifiers for Leif Eric Petterson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730559360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	006253 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	202008709NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mosaic Community Health	5395653497	49
Mosaic Community Health	5395653497	49

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. Leif Eric Petterson Jr allows following entities to bill medicare on his behalf.

Entity Name	Fair Haven Community Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104803444 PECOS PAC ID: 4183511538 Enrollment ID: O20040302000135

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. Leif Eric Petterson Jr 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
Leif Eric Petterson Jr, NP 600 Sw Columbia St Ste 6250, Bend, OR 97702-1099 Ph: (541) 383-3005	Leif Eric Petterson Jr, NP 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 Ph: (541) 383-3005

Reviews and Comments

Nurse Practitioner Nurses in Redmond, OR

Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546
Laura Jean Cheshire, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Sw 4th St, Redmond, OR 97756 Phone: 541-508-9523
Justin P Dennery, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 Ne Maple Ave, Redmond, OR 97756 Phone: 602-570-1237
Amy B Mcelroy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Suite 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636
Randi Louise Duble, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Sw Veterans Way, Redmond, OR 97756 Phone: 541-383-3005
Stephanie Iwalani Dolan, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1314 Sw Kalama Ave, Redmond, OR 97756 Phone: 541-923-5800 Fax: 541-383-1883
Timothy Michael Baumgarte, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164

Leif Eric Petterson Jr, NP - Medicare Nurse Practitioner in Redmond, OR