Lauris J. Petersen Md Pc - Medicare Primary Care in Glenville, NY

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Lauris J. Petersen Md Pc is a medicare enrolled primary clinic (Family Medicine) in Glenville, New York. The current practice location for Lauris J. Petersen Md Pc is 15 Glenridge Rd, Glenville, New York. For appointments, you can reach them via phone at (518) 399-0909. The mailing address for Lauris J. Petersen Md Pc is 15 Glenridge Rd, Glenville, New York and phone number is (518) 399-0909.

Lauris J. Petersen Md Pc is licensed to practice in New York (license number 213320). The clinic also participates in the medicare program and its NPI number is 1659563989. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (518) 399-0909.

Contact Information

Lauris J. Petersen Md Pc
15 Glenridge Rd
Glenville
NY 12302-4520
(518) 399-0909
(518) 399-2640

Map and Direction


Primary Care Clinic Profile

Full NameLauris J. Petersen Md Pc
SpecialityFamily Medicine
Location15 Glenridge Rd, Glenville, New York
Authorized Official Name and PositionLauris Jon Petersen (CEO/PRESIDENT)
Authorized Official Contact5183990909
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lauris J. Petersen Md Pc
15 Glenridge Rd
Glenville
NY 12302-4520

Ph: (518) 399-0909		Lauris J. Petersen Md Pc
15 Glenridge Rd
Glenville
NY 12302-4520

Ph: (518) 399-0909

NPI Details:

NPI Number1659563989
Provider Enumeration Date08/10/2007
Last Update Date08/10/2007

Medicare PECOS Information:

Medicare PECOS PAC ID9638153976
Medicare Enrollment IDO20040615001124

Medical Identifiers

Medical identifiers for Lauris J. Petersen Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659563989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 213320 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lauris J. Petersen Md Pc acts as a billing entity for following providers:
Provider NameLauris J Petersen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629152301
PECOS PAC ID: 0648254995
Enrollment ID: I20040617000227

Reviews and Comments


Family Medicine in Glenville, NY

Ellis Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 115 Saratoga Rd Ste 200, Glenville, NY 12302
Phone: 518-243-3360    

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.