Jacob R Peterson, AA - Medicare Anesthesiology Assistant in La Crosse, WI

Jacob R Peterson, AA is a medicare enrolled "Anesthesiologist Assistant" in La Crosse, Wisconsin. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Gundersen Lutheran Medical Center Inc and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Jacob R Peterson is licensed to practice in * (Not Available) (license number ) 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 1235249442.

Contact Information

Jacob R Peterson, AA
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available



Provider's Profile

Full NameJacob R Peterson
GenderMale
SpecialityAnesthesiology Assistant
Experience18 Years
Location1836 South Ave, La Crosse, Wisconsin
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:
  • Jacob R Peterson graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1235249442
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496752669
  • Enrollment ID: I20061031000529

Medical Identifiers

Medical identifiers for Jacob R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235249442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414800

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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. Jacob R Peterson allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139

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Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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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. Jacob 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
Jacob R Peterson, AA
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300
Jacob R Peterson, AA
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

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Anesthesiologist Assistant Nurses in La Crosse, WI

Chi-seng Lam, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Stewart Nicholas Heaton, AA
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mrs. Tia M Morrison, MMSC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mr. James Alexander Morrison, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Leanna Marie Duerst, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mr. Matthew Gene Kopp Baker, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Iyad A Saleh, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 800-362-9567    Fax: 608-775-6758

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