Michael Blair Peterson, MD in San Leandro, CA

Michael Blair Peterson, MD is a medicare enrolled "Surgery" physician in San Leandro, California. He went to University Of California, Davis School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice East Bay Cardiovascular And Thoracic Associates Inc, Cep America - Auc Pc and his current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Michael Blair Peterson is licensed to practice in California (license number G45972) 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 1255419024.

Contact Information

	Michael Blair Peterson, MD
	2500 Merced St, San Leandro, CA 94577-4201
	(510) 454-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Blair Peterson
Gender	Male
Speciality	General Surgery
Experience	44 Years
Location	2500 Merced St, San Leandro, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Blair Peterson attended and graduated from University Of California, Davis School Of Medicine in 1980

NPI Data:

NPI Number: 1255419024
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8123200854
Enrollment ID: I20110316000724

Medical Identifiers

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

Identifier	Type	State	Issuer
1255419024	NPI	-	NPPES
00G459720	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	G45972 (California)	Secondary
208600000X	Surgery	G45972 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Ramon Regional Medical Center	San ramon, CA	Hospital
John Muir Medical Center - Walnut Creek Campus	Walnut creek, CA	Hospital
John Muir Medical Center - Concord Campus	Concord, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Bay Cardiovascular And Thoracic Associates Inc	9032290770	18
Cep America - Auc Pc	9537481692	24

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. Michael Blair Peterson allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	East Bay Cardiovascular And Thoracic Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073647202 PECOS PAC ID: 9032290770 Enrollment ID: O20080118000426

Entity Name	Cep America - Auc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568861524 PECOS PAC ID: 9537481692 Enrollment ID: O20141201002085

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. Michael Blair 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
Michael Blair Peterson, MD 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 Ph: (925) 334-5800	Michael Blair Peterson, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000

Reviews and Comments

Surgery Doctors in San Leandro, CA

Dr. Lamont D Paxton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712
Mr. Daniel Bradley Allen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274
Donato Joseph Stinghen, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 13851 E 14th St Ste 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712
Sara Jamie Reinganum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274
Brian Walker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St, Suite 118, San Leandro, CA 94578 Phone: 510-352-8400
Kian Mostafavi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 937-208-4286
Dr. Robert O. Gingery, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712

Michael Blair Peterson, MD - Medicare General Surgery in San Leandro, CA