Ms Kendall Leigh Peterson, CAA is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Houston, Texas. Her current practice location is
6720 Bertner Ave, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 355-2666.
Ms Kendall Leigh Peterson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265222970.
Provider's Profile
| Full Name | Ms Kendall Leigh Peterson |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6720 Bertner Ave, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265222970
- Provider Enumeration Date: 05/07/2025
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739698010
- Enrollment ID: I20250530000456
Medical Identifiers
Medical identifiers for Ms Kendall Leigh Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265222970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ms Kendall Leigh Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Baylor College Of Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881026664
PECOS PAC ID: 8022243971
Enrollment ID: O20131030000972 |
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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. Ms Kendall Leigh 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 |
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Ms Kendall Leigh Peterson, CAA
6720 Bertner Ave Ste O-520,
Houston, TX 77030-2604
Ph: (832) 355-2666 | Ms Kendall Leigh Peterson, CAA
6720 Bertner Ave,
Houston, TX 77030-2604
Ph: (832) 355-2666 |
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