Nicholas D A Peterkin, MD | |
832 A1a N Ste 6, Ponte Vedra, FL 32082-3216 | |
(904) 834-3793 | |
(904) 390-7435 |
Full Name | Nicholas D A Peterkin |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 832 A1a N Ste 6, Ponte Vedra, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912211905 | NPI | - | NPPES |
P01346898 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME114121 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Home Health Care | Jacksonville, FL | Home health agency |
Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Primary Care Inc | 0648177733 | 405 |
Entity Name | Baptist Primary Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817529 PECOS PAC ID: 0648177733 Enrollment ID: O20031217000248 |
Mailing Address | Practice Location Address |
---|---|
Nicholas D A Peterkin, MD Po Box 45443, Salt Lake City, UT 84145-0443 Ph: (904) 202-1032 | Nicholas D A Peterkin, MD 832 A1a N Ste 6, Ponte Vedra, FL 32082-3216 Ph: (904) 834-3793 |
Nasrin Datar Raina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 Pine Lake Dr Ste B, Ponte Vedra, FL 32081 Phone: 904-543-3677 | |
Richard W. Townsend, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 351 Town Plaza Ave Ste 105a, Ponte Vedra, FL 32081 Phone: 904-819-3233 Fax: 904-456-0819 | |
Dr. Lara Diane Church, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 Hilden Rd Ste 201, Credentialing Department, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-829-2850 | |
Elizabeth Anne Nelson Andersen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Hiro M Rahbar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-824-5333 | |
Donald W Tice, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 141 Hilden Rd Ste 201, Ponte Vedra, FL 32081 Phone: 904-825-1941 Fax: 904-390-7460 | |
Sarah Crane Adams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-390-7503 |