Mr Robert M Peters Jr, PA-C is a
Physician Assistant based in Ft. Knox, Kentucky. Mr Robert M Peters Jr is licensed to practice in Kentucky (license number PA499) and his current practice location is
851 Ireland Loop, Ces, Iach, Ft. Knox, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 624-9503.
NPI number for Mr Robert M Peters Jr is 1053493882 and his current mailing address is 440 Cedar Hill Dr, Elizabethtown, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053493882.
Provider's Profile
Full Name | Mr Robert M Peters Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 851 Ireland Loop, Ces, Iach, Ft. Knox, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053493882
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Robert M Peters Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053493882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA499 (Kentucky) | 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. Mr Robert M Peters Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert M Peters Jr, PA-C 440 Cedar Hill Dr, Elizabethtown, KY 42701-8695 Ph: (502) 624-9503 | Mr Robert M Peters Jr, PA-C 851 Ireland Loop, Ces, Iach, Ft. Knox, KY 40121 Ph: (502) 624-9503 |
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