Dr Brian R Peterson, MD - Medicare Otolaryngology in West Jordan, UT

Dr Brian R Peterson, MD is a medicare enrolled "Otolaryngology - Otology & Neurotology" physician in West Jordan, Utah. He went to University Of Utah School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is 3584 W 9000 S, Suite 311, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 566-8304.

Dr Brian R Peterson is licensed to practice in Utah (license number 313974-1205) 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 1316978687.

Contact Information

Dr Brian R Peterson, MD
3584 W 9000 S, Suite 311,
West Jordan, UT 84088-5710
(801) 566-8304
(801) 566-8304



Physician's Profile

Full NameDr Brian R Peterson
GenderMale
SpecialityOtolaryngology
Experience34 Years
Location3584 W 9000 S, West Jordan, Utah
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:
  • Dr Brian R Peterson attended and graduated from University Of Utah School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1316978687
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 11/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325149214
  • Enrollment ID: I20170405002432

Medical Identifiers

Medical identifiers for Dr Brian R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316978687NPI-NPPES
214881OtherILMEDICARE GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036142390 (Illinois)Secondary
207YX0901XOtolaryngology - Otology & Neurotology 313974-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390254

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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. Dr Brian R Peterson allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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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. Dr Brian R 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
Dr Brian R Peterson, MD
3584 W 9000 S, Suite 311,
West Jordan, UT 84088-5710

Ph: (801) 566-8304
Dr Brian R Peterson, MD
3584 W 9000 S, Suite 311,
West Jordan, UT 84088-5710

Ph: (801) 566-8304

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Otolaryngology Doctors in West Jordan, UT

Dr. Peter Corless Anderson, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3584 W 9000 S, Ste. 311, West Jordan, UT 84088
Phone: 801-566-8304    
Jonathan Leo Hatch, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3584 W 9000 S Ste 311, West Jordan, UT 84088
Phone: 801-566-8304    Fax: 801-566-8330
Dr. Amir Allak, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3584 W 9000 S Ste 311, West Jordan, UT 84088
Phone: 801-566-8304    Fax: 801-566-8330
Dr. Ryan Max Gilbert, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3584 W 9000 S, Suite 311, West Jordan, UT 84088
Phone: 801-566-8304    Fax: 801-566-8330
Garner B Meads Jr., MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3584 W 9000 S, Ste 311, West Jordan, UT 84088
Phone: 801-566-8304    Fax: 801-566-8330

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