Dr Bobby Dean Peterson, MD is a medicare enrolled "Family Medicine" physician in Escalon, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as General Practice. His current practice location is
2390 Jackson Ave, Escalon, California. You can reach out to his office (for appointments etc.) via phone at
(209) 838-6015.
Dr Bobby Dean Peterson is licensed to practice in California (license number G66903) 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 1841359171.
Physician's Profile
| Full Name | Dr Bobby Dean Peterson |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 37 Years |
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| Location | 2390 Jackson Ave, Escalon, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bobby Dean Peterson attended and graduated from University Of Southern California Keck School Of Medicine in 1987
NPI Data:
- NPI Number: 1841359171
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 06/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 1951380567
- Enrollment ID: I20040726000600
Medical Identifiers
Medical identifiers for Dr Bobby Dean Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841359171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | G66903 (California) | Primary |
Medical Facilities Affiliation
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. Dr Bobby Dean Peterson allows following entities to bill medicare on his behalf.
| Entity Name | B D Peterson Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114232204
PECOS PAC ID: 4587788781
Enrollment ID: O20100825000084 |
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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. Dr Bobby Dean 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 |
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Dr Bobby Dean Peterson, MD
2390 Jackson Ave,
Escalon, CA 95320-2078
Ph: (209) 838-6015 | Dr Bobby Dean Peterson, MD
2390 Jackson Ave,
Escalon, CA 95320-2078
Ph: (209) 838-6015 |
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