Emilse Antonio Peraza, PA-C - Medicare Physician Assistant in Salt Lake City, UT

Emilse Antonio Peraza, PA-C is a medicare enrolled "Physician Assistant" in Salt Lake City, Utah. His current practice location is 1045 E 3900 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 261-2000.

Emilse Antonio Peraza is licensed to practice in Utah (license number 6777964-1206) 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 1619252384.

Contact Information

Emilse Antonio Peraza, PA-C
1045 E 3900 S,
Salt Lake City, UT 84124-1100
(801) 261-2000
(801) 262-5304

Map and Direction




Provider's Profile

Full NameEmilse Antonio Peraza
GenderMale
SpecialityPhysician Assistant
Location1045 E 3900 S, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619252384
  • Provider Enumeration Date: 10/13/2011
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214101484
  • Enrollment ID: I20200521002795

Medical Identifiers

Medical identifiers for Emilse Antonio Peraza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619252384NPI-NPPES
0010-03160OtherNCNC MEDICAL LICENSE
6777964-1206OtherUTUT PA LICENSE
PA1364OtherNVNV PA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-03160 (North Carolina)Secondary
363A00000XPhysician Assistant PA1364 (Nevada)Secondary
363A00000XPhysician Assistant 6777964-1206 (Utah)Primary

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. Emilse Antonio Peraza 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
Emilse Antonio Peraza, PA-C
1045 E 3900 S,
Salt Lake City, UT 84124-1100

Ph: (801) 261-2000
Emilse Antonio Peraza, PA-C
1045 E 3900 S,
Salt Lake City, UT 84124-1100

Ph: (801) 261-2000

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.