Dr Peter Nicholas Fedorka, MD - Medicare General Surgery in Sacramento, CA

Dr Peter Nicholas Fedorka, MD is a medicare enrolled "Surgery" physician in Sacramento, California. He went to University Of California, Geffen School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 2221 Stockton Blvd, Suite E, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-7290.

Dr Peter Nicholas Fedorka is licensed to practice in California (license number A81068) 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 1881891166.

Contact Information

Dr Peter Nicholas Fedorka, MD
2221 Stockton Blvd, Suite E,
Sacramento, CA 95817-1418
(916) 734-7290
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Nicholas Fedorka
GenderMale
SpecialityGeneral Surgery
Experience23 Years
Location2221 Stockton Blvd, Sacramento, California
Accepts Medicare AssignmentsYes. 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 Nicholas Fedorka attended and graduated from University Of California, Geffen School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1881891166
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729171251
  • Enrollment ID: I20070829000607

Medical Identifiers

Medical identifiers for Dr Peter Nicholas Fedorka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881891166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A81068 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital Fontana/ontarioFontana, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

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 Nicholas Fedorka allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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 Nicholas Fedorka 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 AddressPractice Location Address
Dr Peter Nicholas Fedorka, MD
40 Park City Court, Apt. 4106,
Sacramento, CA 95831

Ph: (916) 399-6001
Dr Peter Nicholas Fedorka, MD
2221 Stockton Blvd, Suite E,
Sacramento, CA 95817-1418

Ph: (916) 734-7290

Reviews and Comments


Surgery Doctors in Sacramento, CA

Dr. Vijay P Khatri, M.D.
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Dr. Rebecca Anne Stark, MD
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Rachael A Callcut, MD
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Dr. Diana L. Farmer, MD
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Phone: 916-734-3190    Fax: 916-734-5119
Dr. Matthew Malcolm Pier, MD
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Practice Location: 4150 V Street, Pssb 1200, Sacramento, CA 95817
Phone: 916-734-5026    
Sarah Childs, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4150 V Street Pssb, Suite 1200, Sacramento, CA 95817
Phone: 916-734-5028    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.