Kevin Peterson, DO is a
Anesthesiology - Pain Medicine physician based in Jbsa-fort Sam Houston, Texas. Kevin Peterson is licensed to practice in Texas (license number S0534) and his current practice location is 3551 Rodger Brooke Dr, Jbsa-fort Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 916-8666.
NPI number for Kevin Peterson is 1790225662 and his current mailing address is 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790225662.
Physician's Profile
| Full Name | Kevin Peterson |
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| Gender | Male |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 3551 Rodger Brooke Dr, Jbsa-fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790225662
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 06/17/2022
Medical Identifiers
Medical identifiers for Kevin Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790225662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | S0534 (Texas) | Secondary |
| 208D00000X | General Practice | S0534 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | S0534 (Texas) | Primary |
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. Kevin Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Peterson, DO
3551 Rodger Brooke Dr, Anesthesia Residency,
Jbsa-fort Sam Houston, TX 78234-4504
Ph: (210) 916-8666 | Kevin Peterson, DO
3551 Rodger Brooke Dr,
Jbsa-fort Sam Houston, TX 78234-4504
Ph: (210) 916-8666 |
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