Frederick Peterson, MD in Palm Bay, FL - Medicare Family Medicine

Frederick Peterson, MD is a medicare enrolled "Family Medicine" physician in Palm Bay, Florida. His current practice location is 6100 Minton Rd Nw, Ste104, Palm Bay, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 724-1172.

Frederick Peterson is licensed to practice in Florida (license number ME32196) 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 1215913165.

Contact Information

	Frederick Peterson, MD
	6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907-1975
	(321) 724-1172
	(321) 724-9024

Map and Direction

Physician's Profile

Full Name	Frederick Peterson
Gender	Male
Speciality	Family Medicine
Location	6100 Minton Rd Nw, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215913165
Provider Enumeration Date: 12/21/2005
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0749318566
Enrollment ID: I20100514000255

Medical Identifiers

Medical identifiers for Frederick Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215913165	NPI	-	NPPES
080185086	Other	FL	RAILROAD MEDICARE
038494100	Medicaid	FL
5840654	Other	FL	AETNA
2830929	Other	FL	AETNA
200859	Other	FL	WELLCARE
62193	Other	FL	BLUE CROSS BLUE SHIELD
2049145010	Other	FL	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME32196 (Florida)	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. Frederick Peterson allows following entities to bill medicare on his behalf.

Entity Name	Vitas Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861666497 PECOS PAC ID: 7012087166 Enrollment ID: O20080811000215

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. Frederick 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 Address	Practice Location Address
Frederick Peterson, MD 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907-1975 Ph: (321) 724-1172	Frederick Peterson, MD 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907-1975 Ph: (321) 724-1172

Reviews and Comments

Family Medicine Doctors in Palm Bay, FL

Rebecca Fobes, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 New Ave Ne, Palm Bay, FL 32907 Phone: 321-282-1499 Fax: 321-256-6212
Dr. Jose L Garcia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-434-3430 Fax: 321-434-3432
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960
Dr. Ming Tao Lai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 2, Palm Bay, FL 32907 Phone: 321-768-2356 Fax: 321-726-6388
Mr. German Castro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905 Phone: 321-728-7222 Fax: 321-728-8823
Dr. Richard Hernandez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-984-7695

Frederick Peterson, MD - Medicare Family Medicine in Palm Bay, FL