Jeffry Lynes Peterson is a Red Bud, Illinois based nurse anesthetist with 28 years of experience as Anesthesia Administration. He completed he graduation in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffry Lynes Peterson is 3002489 for Anesthesia Administration in Kentucky. his current practice location is 10117 Pine Crest Rd, Red Bud. Patients can reach him at 618-282-2872. Jeffry Lynes Peterson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1164569729. Jeffry Lynes Peterson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jeffry Lynes Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
10117 Pine Crest Rd, Red Bud, Illinois, 62278-4458
Phone:
618-282-2872
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8729164397
Enrollment ID:
I20120927000800
NPI Number:
1164569729
NPI Enumeration Date:
31 Jan, 2007
NPI Last Update On:
04 Feb, 2020
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffry Lynes Peterson are as mentioned below.
License Number
Specialization
State
Status
3002489
Anesthesia Administration
Kentucky
Primary
124294
Anesthesia Administration
Missouri
Secondary
209-000383
Anesthesia Administration
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Memorial Hospital (141338)
Chester, IL
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jeffry Lynes Peterson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Memorial Hospital (5294649372)
20
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffry Lynes Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7424890700
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10117 Pine Crest Rd, Red Bud, Illinois
Zip:
62278-4458
Phone Number:
270-898-1922
Fax Number:
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Patients can reach Jeffry Lynes Peterson at 10117 Pine Crest Rd, Red Bud, Illinois or can call to book an appointment on 618-282-2872.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.