Dr Keith R Peterson, PHD in Irvine, CA - Medicare Clinical Psychologist Provider

Dr Keith R Peterson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Irvine, California. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 6 Venture, Suite 350, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 683-8789.

Dr Keith R Peterson is licensed to practice in California (license number PSY 15859) 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 1023144573.

Contact Information

	Dr Keith R Peterson, PHD
	6 Venture, Suite 350, Irvine, CA 92618-3340
	(949) 683-8789
	(949) 581-4484

Healthcare Provider's Profile

Full Name	Dr Keith R Peterson
Gender	Male
Speciality	Clinical Psychologist
Experience	29 Years
Location	6 Venture, Irvine, California
Accepts Medicare Assignments	Yes. 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 Keith R Peterson graduated from medical school in 1995

NPI Data:

NPI Number: 1023144573
Provider Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729095633
Enrollment ID: I20060317000564

Medical Identifiers

Medical identifiers for Dr Keith R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023144573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 15859 (California)	Primary

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 Keith 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 Address	Practice Location Address
Dr Keith R Peterson, PHD 26741 Portola Pkwy, Suite 1e 432, Foothill Ranch, CA 92610-1743 Ph: (949) 683-8789	Dr Keith R Peterson, PHD 6 Venture, Suite 350, Irvine, CA 92618-3340 Ph: (949) 683-8789

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Dr Keith R Peterson, PHD - Medicare Psychologist in Irvine, CA