Madeliene Alexandra Peterson, - Medicare Nurse Anesthetist, Certified Registered in American Fork, UT

Madeliene Alexandra Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in American Fork, Utah. Her current practice location is 170 N 1100 E, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 855-3267.

Madeliene Alexandra Peterson is licensed to practice in Utah (license number 12058297-4406) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003698507.

Contact Information

Madeliene Alexandra Peterson,
170 N 1100 E,
American Fork, UT 84003-2961
(801) 855-3267
(801) 855-3251



Provider's Profile

Full NameMadeliene Alexandra Peterson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location170 N 1100 E, American Fork, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003698507
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 12/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002250560
  • Enrollment ID: I20240223000397

Medical Identifiers

Medical identifiers for Madeliene Alexandra Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003698507NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 12058297-3102 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 12058297-4406 (Utah)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. Madeliene Alexandra Peterson allows following entities to bill medicare on her behalf.
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268

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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. Madeliene Alexandra 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
Madeliene Alexandra Peterson,
2221 Lakeside Blvd Ste 600,
Richardson, TX 75082-4416

Ph: (469) 505-1652
Madeliene Alexandra Peterson,
170 N 1100 E,
American Fork, UT 84003-2961

Ph: (801) 855-3267

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Accentus Medical, a leading UK medical technology company that supplies advanced coatings and surface treatments to the medical device industry, announced today that it has signed a Licence and Services Agreement with Zimmer Holdings, Inc., a global market leader in musculoskeletal care. This agreement will enable the use of Accentus Medical's Agluna® anti-infective technology on a potentially broad range of Zimmer products.

Scientists identify new biomarker to detect subclinical atherosclerosis

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Quality of end-of-life care in ICUs higher than other hospital departments

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› Verified 7 days ago


Nurse Anesthetist, Certified Registered Nurses in American Fork, UT

Kevin K Hair, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1014 E 220 N, American Fork, UT 84003
Phone: 801-763-5461    
Preston Peterson Bird, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-492-1611    
Mr. Michael Ryan Blaney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-357-8818    
Mrs. Vanessa Passanante Barton, RN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3267    Fax: 801-855-3251
Graham Brent Prime, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-763-3300    
Daniel William Bunker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1159 E 200 N, #100, American Fork, UT 84003
Phone: 801-855-3372    
Tisha C. Gordon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-763-3300    Fax: 801-432-2668

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