Dr John Stewart Peters, DO is a medicare enrolled "Dermatology" physician in Crestview, Florida. His current practice location is
2798 Dogwood Acres, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at
(406) 299-0871.
Dr John Stewart Peters is licensed to practice in Alabama (license number DO.3331) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013004860.
Physician's Profile
| Full Name | Dr John Stewart Peters |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 2798 Dogwood Acres, Crestview, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1013004860
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476829086
- Enrollment ID: I20171026002288
Medical Identifiers
Medical identifiers for Dr John Stewart Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013004860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 45315 (Georgia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | DO.3331 (Alabama) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 45315 (Georgia) | Secondary |
| 207N00000X | Dermatology | DO.3331 (Alabama) | 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. Dr John Stewart Peters allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Dermatology & Skin Cancer Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063460459
PECOS PAC ID: 7113980855
Enrollment ID: O20041104000512 |
|---|
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 John Stewart Peters 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 John Stewart Peters, DO
2798 Dogwood Acres,
Crestview, FL 32536-9368
Ph: (406) 299-0871 | Dr John Stewart Peters, DO
2798 Dogwood Acres,
Crestview, FL 32536-9368
Ph: (406) 299-0871 |
Reviews and Comments