| Cory Grant Peters, PA | |
|
10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256 | |
| (904) 634-0640 | |
| (904) 634-0203 |
| Full Name | Cory Grant Peters |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 10475 Centurion Pkwy N, Jacksonville, 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 |
|---|---|---|---|
| 1144395708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9106781 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA9106781 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Orthopedic Specialists Llc | 1456246974 | 116 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Grant Peters, PA 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Cory Grant Peters, PA 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256 Ph: (904) 634-0640 |
Katherine L Walsh, PA-C/MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Teresa Louise Cowan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207 Phone: 904-396-6620 Fax: 904-396-6528 | |
Mrs. Melina Volner Sommese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2594 Fax: 904-953-6225 | |
Jessica Defazio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Prudential Dr Ste 1100, Jacksonville, FL 32207 Phone: 904-388-6518 Fax: 904-384-1005 | |
Kayla Marie Demus Wilmot, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Dunn Ave Ste 1, Jacksonville, FL 32218 Phone: 904-745-3618 | |
Rachel Lahav, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4123 University Blvd S, Ste B, Jacksonville, FL 32216 Phone: 904-636-9100 Fax: 904-636-9102 | |
Samantha Steele, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12398 Wavyleaf Ct, Jacksonville, FL 32225 Phone: 443-758-3656 |