Dr Peter Roger Deversa, MD in Chattanooga, TN

Dr Peter Roger Deversa, MD is a medicare enrolled "Internal Medicine" physician in Chattanooga, Tennessee. His current practice location is 979 E 3rd St, Suite 1001, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 648-9808.

Dr Peter Roger Deversa is licensed to practice in Tennessee (license number 29416) 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 1598773871.

Contact Information

	Dr Peter Roger Deversa, MD
	979 E 3rd St, Suite 1001, Chattanooga, TN 37403-2136
	(423) 648-9808
	(423) 648-4570

Map and Direction

Physician's Profile

Full Name	Dr Peter Roger Deversa
Gender	Male
Speciality	Internal Medicine
Location	979 E 3rd St, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598773871
Provider Enumeration Date: 08/03/2006
Last Update Date: 10/30/2007

Medicare PECOS Information:

PECOS PAC ID: 2961306717
Enrollment ID: I20031122000056

Medical Identifiers

Medical identifiers for Dr Peter Roger Deversa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598773871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	29416 (Tennessee)	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 Peter Roger Deversa allows following entities to bill medicare on his behalf.

Entity Name	Chattanooga Hamilton County Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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 Roger Deversa 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 Roger Deversa, MD 979 E 3rd St, Suite 1001, Chattanooga, TN 37403-2136 Ph: (423) 648-9808	Dr Peter Roger Deversa, MD 979 E 3rd St, Suite 1001, Chattanooga, TN 37403-2136 Ph: (423) 648-9808

Reviews and Comments

Internal Medicine Doctors in Chattanooga, TN

Bradley Rayford Keel, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1067 Riverfront Pkwy Ste 201, Chattanooga, TN 37402 Phone: 423-888-5930 Fax: 423-634-0103
Dr. Pamela Rani Sud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Glenwood Drive, Suite E-500, Chattanooga, TN 37404 Phone: 423-495-2635 Fax: 423-495-2638
David Shved, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5179 Fax: 423-778-2108
Dr. Charles Robert Bosshardt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404 Phone: 423-698-8101 Fax: 423-698-3450
Dr. Elise Helene Marshall, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 Glenwood Dr Ste 300, Chattanooga, TN 37404 Phone: 423-495-2690 Fax: 423-495-2698
Dr. Joshua Warner Hornsby, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 979 E 3rd St Ste A-440, Chattanooga, TN 37403 Phone: 423-778-2867 Fax: 423-778-2866
Dr. Donald Franklin Mackler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 Glenwood Dr, Ste. W552, Chattanooga, TN 37404 Phone: 423-629-6258 Fax: 423-629-9531

Dr Peter Roger Deversa, MD - Medicare Internal Medicine in Chattanooga, TN