Dr Wylan Cornelius Peterson, MD - Medicare Critical Care (intensivists) in Fort Sam Houston, TX

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Dr Wylan Cornelius Peterson, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Fort Sam Houston, Texas. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Gulf Coast Intensivists, Pllc, Cepamerica Texas Pa, Southeast Texas Intensivists, Pllc, Texas Acute Care Surgery Llc, Central Texas Intensivists Pllc and his current practice location is 3551 Roger Brooke Dr, Att'n Ms. Shawana Judge, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-1064.

Dr Wylan Cornelius Peterson is licensed to practice in Texas (license number Q0151) 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 1659395523.

Contact Information

Dr Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504
(210) 916-1064
Not Available

Map and Direction




Physician's Profile

Full NameDr Wylan Cornelius Peterson
GenderMale
SpecialityCritical Care (intensivists)
Experience24 Years
Location3551 Roger Brooke Dr, Fort Sam Houston, Texas
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 Wylan Cornelius Peterson attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1659395523
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799731105
  • Enrollment ID: I20141222001144

Medical Identifiers

Medical identifiers for Dr Wylan Cornelius Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659395523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine Q0151 (Texas)Secondary
208600000XSurgery 35-08-5446 (Ohio)Secondary
208600000XSurgery Q0151 (Texas)Secondary
2086S0102XSurgery - Surgical Critical Care Q0151 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St David's South Austin Medical CenterAustin, TXHospital
Christus Santa Rosa Medical CenterSan antonio, TXHospital
Christus Spohn Hospital Corpus ChristiCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gulf Coast Intensivists, Pllc226489636433
Cepamerica Texas Pa660827835315
Southeast Texas Intensivists, Pllc781034267244
Texas Acute Care Surgery Llc87294629818
Central Texas Intensivists Pllc892144634514

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 Wylan Cornelius Peterson allows following entities to bill medicare on his behalf.
Entity NameOrthopaedic Associates Of Central Tx Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518061092
PECOS PAC ID: 3971583840
Enrollment ID: O20040721001334
Entity NameCapital Area Surgeons Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285831412
PECOS PAC ID: 0840377594
Enrollment ID: O20080407000107
Entity NameTexas Ips Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629368535
PECOS PAC ID: 9638356801
Enrollment ID: O20110616000075
Entity NameConner Intensivist Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154980332
PECOS PAC ID: 0446587927
Enrollment ID: O20190806002774
Entity NameCepamerica Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881269934
PECOS PAC ID: 6608278353
Enrollment ID: O20210716002629
Entity NameTexas Acute Care Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699430298
PECOS PAC ID: 8729462981
Enrollment ID: O20220907002310
Entity NameGulf Coast Intensivists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104509199
PECOS PAC ID: 2264896364
Enrollment ID: O20230907002726
Entity NameSoutheast Texas Intensivists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801579867
PECOS PAC ID: 7810342672
Enrollment ID: O20231013001474
Entity NameCentral Texas Intensivists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205690765
PECOS PAC ID: 8921446345
Enrollment ID: O20240404001976

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 Wylan Cornelius Peterson 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 Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504

Ph: (210) 916-1064		Dr Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504

Ph: (210) 916-1064

Reviews and Comments


Surgery Doctors in Fort Sam Houston, TX

Dr. George Earl Peoples Jr., M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-4235    Fax: 210-916-5102
Dr. Jeremy Tyler Bolin, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    
Dr. Candace Ward, MD, MPH
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-7500    
Penelope Anne Herder, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    
Dr. Tommy Alan Brown Ii, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-3400    
Dr. Pamela Christine Masella, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-0393    
Dr. Jamie Rand, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    

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.

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