Joseph Phillip Peter, MD | |
332 Medcrest Drive, Crestview, FL 32536 | |
(850) 683-5100 | |
(850) 683-5102 |
Full Name | Joseph Phillip Peter |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 332 Medcrest Drive, Crestview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053343343 | NPI | - | NPPES |
255307400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME74916 (Florida) | Secondary |
208000000X | Pediatrics | ME74916 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
---|---|
Joseph Phillip Peter, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 254-5920 | Joseph Phillip Peter, MD 332 Medcrest Drive, Crestview, FL 32536 Ph: (850) 683-5100 |
Dr. Sharon Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
Dr. Heather Lynn Macadam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste C5, Crestview, FL 32536 Phone: 850-682-1164 Fax: 850-682-5302 | |
J. Enrique Lujan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531 | |
William Scott Wakefield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 | |
Tamika D Ussery-freeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Redstone Ave W Ste 390, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 |