Kyle Petersen, MD in Palm Beach Gardens, FL - Medicare Orthopaedic Surgery

Kyle Petersen, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Palm Beach Gardens, Florida. His current practice location is 4215 Burns Rd Ste 100, Palm Beach Gardens, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 694-7776.

Kyle Petersen is licensed to practice in Florida (license number ME155351) 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 1104280700.

Contact Information

	Kyle Petersen, MD
	4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627
	(561) 694-7776
	(561) 694-3099

Map and Direction

Physician's Profile

Full Name	Kyle Petersen
Gender	Male
Speciality	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine
Location	4215 Burns Rd Ste 100, Palm Beach Gardens, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104280700
Provider Enumeration Date: 04/09/2016
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5597165183
Enrollment ID: I20220610001812

Medical Identifiers

Medical identifiers for Kyle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104280700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0117X	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine	ME155351 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kyle Petersen allows following entities to bill medicare on his behalf.

Entity Name	Palm Beach Orthopaedic Institute Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184796245 PECOS PAC ID: 0547153389 Enrollment ID: O20040205000191

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. Kyle Petersen 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
Kyle Petersen, MD 4215 Burns Rd Ste 200, Palm Beach Gardens, FL 33410-4625 Ph: (561) 694-7776	Kyle Petersen, MD 4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410-4627 Ph: (561) 694-7776

Reviews and Comments

Orthopaedic Surgery Doctors in Palm Beach Gardens, FL

Brian William Hill, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4215 Burns Rd Ste 100, Palm Beach Gardens, FL 33410 Phone: 561-694-7776 Fax: 561-694-3099
Dr. Arthur C Burdett, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 33410 Phone: 561-694-7776 Fax: 561-694-3099
Philip Albert Saville, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 300 Village Square Xing Ste 201, Palm Beach Gardens, FL 33410 Phone: 561-630-3870 Fax: 561-630-3680
George Stephen Kantor, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11211 Prosperity Farms Rd, C-114, Palm Beach Gardens, FL 33410 Phone: 561-622-2546 Fax: 561-627-1757
Edward Jeffrey Bloch, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13764 Monaco Way, Palm Beach Gardens, FL 33410 Phone: 561-691-9835 Fax: 561-691-9836
Dr. Robert Green, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 33410 Phone: 561-694-7776 Fax: 561-694-3099

Kyle Petersen, MD - Medicare Orthopaedic Surgery in Palm Beach Gardens, FL