Dr Peter Fonseca, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bridgeton, Missouri. His current practice location is
12266 De Paul Dr Ste 205, Bridgeton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 647-8269.
Dr Peter Fonseca is licensed to practice in Missouri (license number 116658) 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 1760483101.
Physician's Profile
| Full Name | Dr Peter Fonseca |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12266 De Paul Dr Ste 205, Bridgeton, Missouri |
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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 Peter Fonseca attended and graduated from in
NPI Data:
- NPI Number: 1760483101
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Peter Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760483101 | NPI | - | NPPES |
| 507190205 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 116658 (Missouri) | Primary |
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 Peter Fonseca 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 Peter Fonseca, MD
Po Box 955534,
Saint Louis, MO 63195-5534
Ph: () - | Dr Peter Fonseca, MD
12266 De Paul Dr Ste 205,
Bridgeton, MO 63044-2514
Ph: (314) 647-8269 |
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