Everett Mark Petersen, MD - Medicare Anesthesiology in Sandy, UT

Everett Mark Petersen, MD is a medicare enrolled "Anesthesiology" physician in Sandy, Utah. He went to University Of Utah School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mountain West Anesthesia Llc and his current practice location is 9660 South 1300 East, Alta View Hospital, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 501-2600.

Everett Mark Petersen is licensed to practice in Florida (license number TRN11004) 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 1508061177.

Contact Information

Everett Mark Petersen, MD
9660 South 1300 East, Alta View Hospital,
Sandy, UT 84094
(801) 501-2600
Not Available



Physician's Profile

Full NameEverett Mark Petersen
GenderMale
SpecialityAnesthesiology
Experience17 Years
Location9660 South 1300 East, Sandy, 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:
  • Everett Mark Petersen attended and graduated from University Of Utah School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1508061177
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6002084993
  • Enrollment ID: I20110720000299

Medical Identifiers

Medical identifiers for Everett Mark Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508061177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology TRN11004 (Florida)Primary
207L00000XAnesthesiology 370770-1205 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alta View HospitalSandy, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain West Anesthesia Llc9032018502248

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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. Everett Mark Petersen allows following entities to bill medicare on his behalf.
Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057

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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. Everett Mark Petersen 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
Everett Mark Petersen, MD
3340 North Center St, #800,
Lehi, UT 84043-7406

Ph: (801) 990-1911
Everett Mark Petersen, MD
9660 South 1300 East, Alta View Hospital,
Sandy, UT 84094

Ph: (801) 501-2600

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Anesthesiology Doctors in Sandy, UT

Ralph Ernest Hannah, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 9660 S 1300e, Sandy, UT 84094
Phone: 801-993-9582    Fax: 801-733-5618
Mr. Clinton Lund Christensen, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094
Phone: 801-501-2600    
Todd S Blood, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094
Phone: 801-501-2600    Fax: 801-733-5618
Dr. Natalia Alexandrovna Piper, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 10150 Centennial Pkwy, Ste. 230, Sandy, UT 84070
Phone: 425-284-1545    
James B Yee, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094
Phone: 801-501-2600    Fax: 801-733-5618
David A Pearson, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 10011 S Centennial Pkwy, Suite 220, Sandy, UT 84070
Phone: 801-566-5350    Fax: 801-890-0706
Jay Todd Nilson, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 10150 Centennial Pkwy Ste 230, Sandy, UT 84070
Phone: 800-594-5736    

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