Dr Peter D Peng, MD | |
2501 N Orange Ave Ste 201, Orlando, FL 32804-4641 | |
(407) 821-3620 | |
(407) 821-3621 |
Full Name | Dr Peter D Peng |
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Gender | Male |
Speciality | Surgery |
Location | 2501 N Orange Ave Ste 201, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710915160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME169728 (Florida) | Primary |
208600000X | Surgery | MD036096 (District Of Columbia) | Secondary |
208600000X | Surgery | A88562 (California) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Peter D Peng, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 | Dr Peter D Peng, MD 2501 N Orange Ave Ste 201, Orlando, FL 32804-4641 Ph: (407) 821-3620 |
Dr. George Malcolm White, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 N Orange Ave, Suite 600, Orlando, FL 32801 Phone: 407-841-2100 Fax: 407-841-5705 | |
Dr. Christopher Thomas Aquina, MD, MPH Surgery Medicare: Medicare Enrolled Practice Location: 2415 N Orange Ave Ste 300, Orlando, FL 32804 Phone: 407-303-2615 | |
Dr. Elizabeth Patricia Bugarin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-7283 Fax: 407-303-0347 | |
Leanne M Iorio, DO Surgery Medicare: Medicare Enrolled Practice Location: 110 W Underwood St Ste A, Orlando, FL 32806 Phone: 407-422-3790 | |
Brittany N Warren, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 W Underwood St, Ste 300, Orlando, FL 32806 Phone: 407-649-6884 Fax: 407-245-7059 | |
Heather Walton, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 4850 Millenia Blvd, Orlando, FL 32839 Phone: 407-264-5601 | |
Dr. Juan Sauer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9430 Turkey Lake Rd, Ste 114, Orlando, FL 32819 Phone: 407-354-1202 Fax: 407-351-8801 |