Mr Devon D Peterson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lincoln City, OR

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Mr Devon D Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lincoln City, Oregon. He graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Samaritan North Lincoln Hospital and his current practice location is 3043 Ne 28th St, Lincoln City, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 994-3661.

Mr Devon D Peterson is licensed to practice in Oregon (license number 10004847) 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 1245278035.

Contact Information

Mr Devon D Peterson, CRNA
3043 Ne 28th St,
Lincoln City, OR 97367-4518
(541) 994-3661
Not Available

Map and Direction




Provider's Profile

Full NameMr Devon D Peterson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location3043 Ne 28th St, Lincoln City, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Devon D Peterson graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1245278035
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901891936
  • Enrollment ID: I20230426001858

Medical Identifiers

Medical identifiers for Mr Devon D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245278035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 53425214406 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 10004847 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan North Lincoln HospitalLincoln city, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan North Lincoln Hospital791181630140

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. Mr Devon D Peterson allows following entities to bill medicare on his behalf.
Entity NameSamaritan North Lincoln Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20040120000329
Entity NameSantiam Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154302214
PECOS PAC ID: 6103729751
Enrollment ID: O20040130000239
Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117

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. Mr Devon D 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 AddressPractice Location Address
Mr Devon D Peterson, CRNA
Po Box 1189,
Corvallis, OR 97339-1189

Ph: () -		Mr Devon D Peterson, CRNA
3043 Ne 28th St,
Lincoln City, OR 97367-4518

Ph: (541) 994-3661

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lincoln City, OR

Paul S. Palmer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367
Phone: 541-996-7152    Fax: 541-996-7120
Katie Elliott,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367
Phone: 541-994-3661    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.