Dr Peter Protell, MD in South Lake Tahoe, CA - Medicare Emergency Medicine

Dr Peter Protell, MD is a medicare enrolled "Emergency Medicine" physician in South Lake Tahoe, California. His current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 541-3420.

Dr Peter Protell is licensed to practice in California (license number A120517) 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 1679763353.

Contact Information

	Dr Peter Protell, MD
	2170 South Ave, South Lake Tahoe, CA 96150-7026
	(530) 541-3420
	Not Available

Physician's Profile

Full Name	Dr Peter Protell
Gender	Male
Speciality	Emergency Medicine
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679763353
Provider Enumeration Date: 07/28/2007
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3678612140
Enrollment ID: I20121023000351

Medical Identifiers

Medical identifiers for Dr Peter Protell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679763353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	14203 (Nevada)	Secondary
207P00000X	Emergency Medicine	A120517 (California)	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. Dr Peter Protell allows following entities to bill medicare on his behalf.

Entity Name	Tahoe Emergency Physicians Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104937408 PECOS PAC ID: 0446151674 Enrollment ID: O20040120000328

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Entity Name	Barton Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806

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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 Peter Protell 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
Dr Peter Protell, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659	Dr Peter Protell, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420

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Emergency Medicine Doctors in South Lake Tahoe, CA

Michael Corbin Schankerman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Michael R Mclaughlin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Amy Pape Anton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Taylor Brooke Myatt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Kandra T Yee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Michael E. R. Habicht, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Clinton James Masterson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420

Dr Peter Protell, MD - Medicare Emergency Medicine in South Lake Tahoe, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Emergency Medicine Doctors in South Lake Tahoe, CA