Dr Paul Lewis Petersen, MD - Medicare Emergency Medicine in Miami, FL

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Dr Paul Lewis Petersen, MD is a medicare enrolled "Emergency Medicine" physician in Miami, Florida. His current practice location is 3663 S Miami Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 665-4614.

Dr Paul Lewis Petersen is licensed to practice in Florida (license number ME82450) 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 1255437109.

Contact Information

Dr Paul Lewis Petersen, MD
3663 S Miami Ave,
Miami, FL 33133-4253
(305) 665-4614
(305) 667-0239

Map and Direction




Physician's Profile

Full NameDr Paul Lewis Petersen
GenderMale
SpecialityEmergency Medicine
Location3663 S Miami Ave, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255437109
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 08/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1658358676
  • Enrollment ID: I20040707000551

Medical Identifiers

Medical identifiers for Dr Paul Lewis Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255437109NPI-NPPES
262547400MedicaidFL
03222OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME82450 (Florida)Primary

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. Dr Paul Lewis Petersen allows following entities to bill medicare on his behalf.
Entity NameCleveland Clinic Florida (a Nonprofit Corporation)
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989298
PECOS PAC ID: 7911807128
Enrollment ID: O20040113000394
Entity NameSterling Emergency Services Of Miami Beach Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083912471
PECOS PAC ID: 3476553215
Enrollment ID: O20140331000791
Entity NameEmergent Physicians Of Country Walk Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114497005
PECOS PAC ID: 4688916091
Enrollment ID: O20190506001701
Entity NameEmergent Physicians Of Doral Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245909449
PECOS PAC ID: 5193113223
Enrollment ID: O20211022000871

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. Dr Paul Lewis 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 AddressPractice Location Address
Dr Paul Lewis Petersen, MD
5901 Sw 74th St, Suite 202,
Miami, FL 33143-5165

Ph: (305) 665-4614		Dr Paul Lewis Petersen, MD
3663 S Miami Ave,
Miami, FL 33133-4253

Ph: (305) 665-4614

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.