Timothy Warren Peterson, PA-C - Medicare Physician Assistant in Crittenden, KY

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Timothy Warren Peterson, PA-C is a medicare enrolled "Physician Assistant" in Crittenden, Kentucky. His current practice location is 405 Violet Rd, Crittenden, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 903-0268.

Timothy Warren Peterson is licensed to practice in Kentucky (license number PA1799) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720388218.

Contact Information

Timothy Warren Peterson, PA-C
405 Violet Rd,
Crittenden, KY 41030-8956
(859) 903-0268
(859) 428-1444

Map and Direction




Provider's Profile

Full NameTimothy Warren Peterson
GenderMale
SpecialityPhysician Assistant
Location405 Violet Rd, Crittenden, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720388218
  • Provider Enumeration Date: 10/30/2010
  • Last Update Date: 08/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759543499
  • Enrollment ID: I20130729000988

Medical Identifiers

Medical identifiers for Timothy Warren Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720388218NPI-NPPES
7100252800MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA1799 (Kentucky)Primary

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. Timothy Warren 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
Timothy Warren Peterson, PA-C
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 903-0268		Timothy Warren Peterson, PA-C
405 Violet Rd,
Crittenden, KY 41030-8956

Ph: (859) 903-0268

Reviews and Comments


Physician Assistant Nurses in Crittenden, KY

Mrs. Suzanne Michelle Fernbach, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 405 Violet Rd, Crittenden, KY 41030
Phone: 859-903-0268    Fax: 859-428-1444

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.