Dr Kevin William Peterson, MD in Jacksonville, FL

Dr Kevin William Peterson, MD is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. His current practice location is 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 633-0700.

Dr Kevin William Peterson is licensed to practice in Florida (license number ME81505) 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 1790754877.

Contact Information

	Dr Kevin William Peterson, MD
	2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center, Jacksonville, FL 32218-6983
	(904) 633-0700
	(904) 633-0701

Map and Direction

Physician's Profile

Full Name	Dr Kevin William Peterson
Gender	Male
Speciality	Family Medicine
Location	2377 Dunn Ave, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790754877
Provider Enumeration Date: 03/14/2006
Last Update Date: 04/22/2009

Medicare PECOS Information:

PECOS PAC ID: 3375720329
Enrollment ID: I20110531000727

Medical Identifiers

Medical identifiers for Dr Kevin William Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790754877	NPI	-	NPPES
000912007A	Medicaid	GA
080175129	Other	FL	RAILROAD MEDICARE
2618401-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME81505 (Florida)	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 Kevin William Peterson allows following entities to bill medicare on his behalf.

Entity Name	St Vincent's Ambulatory Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430

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 Kevin William 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 Kevin William Peterson, MD Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: () -	Dr Kevin William Peterson, MD 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center, Jacksonville, FL 32218-6983 Ph: (904) 633-0700

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Dr. Neal Raj Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2624 Atlantic Blvd, Jacksonville, FL 32207 Phone: 954-513-3240 Fax: 904-398-7871
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Christopher Patrick Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846

Dr Kevin William Peterson, MD - Medicare Family Medicine in Jacksonville, FL