Katlyn Rene Peterson, OD - Medicare Optometrist in Portland, OR

Katlyn Rene Peterson, OD is a medicare enrolled "Optometrist" provider in Portland, Oregon. She went to University Of Missouri St Louis - School Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Health Northwest Pc and her current practice location is 1955 Nw Northrup St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 227-2020.

Katlyn Rene Peterson is licensed to practice in Oregon (license number ATI4633) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538768007.

Contact Information

Katlyn Rene Peterson, OD
1955 Nw Northrup St,
Portland, OR 97209-1614
(503) 227-2020
(503) 222-0614

Map and Direction




Healthcare Provider's Profile

Full NameKatlyn Rene Peterson
GenderFemale
SpecialityOptometry
Experience4 Years
Location1955 Nw Northrup St, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katlyn Rene Peterson attended and graduated from University Of Missouri St Louis - School Of Optometry in 2020
  NPI Data:
  • NPI Number: 1538768007
  • Provider Enumeration Date: 10/25/2020
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193138329
  • Enrollment ID: I20220621001784

Medical Identifiers

Medical identifiers for Katlyn Rene Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538768007NPI-NPPES
500807355MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ATI4633 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Health Northwest Pc923403992657

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. Katlyn Rene Peterson allows following entities to bill medicare on her behalf.
Provider NameEye Health Northwest Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619959731
PECOS PAC ID: 9234039926
Enrollment ID: O20040109000739

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. Katlyn Rene 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
Katlyn Rene Peterson, OD
Po Box 22009,
Portland, OR 97269-2009

Ph: (503) 558-7372
Katlyn Rene Peterson, OD
1955 Nw Northrup St,
Portland, OR 97209-1614

Ph: (503) 227-2020

Reviews and Comments


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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.