Dr Peter Fonseca, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bridgeton, Missouri. He went to Saint Louis University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Ssm Medical Group Inc and 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 |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery |
|---|
| Experience | 37 Years |
|---|
| Location | 12266 De Paul Dr Ste 205, Bridgeton, Missouri |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Peter Fonseca attended and graduated from Saint Louis University School Of Medicine in 1987
NPI Data:
- NPI Number: 1760483101
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638217425
- Enrollment ID: I20091116000591
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 |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 116658 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ssm Medical Group Inc | 6608776299 | 496 |
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 Peter Fonseca allows following entities to bill medicare on his behalf.
| Entity Name | Ssm Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034 |
|---|
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 |
|---|
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 |
Reviews and Comments