Dr Edward Peters Iv, OD is a medicare enrolled "Optometrist" provider in St. Johns, Michigan. He went to Michigan College Of Medicine And Surgery and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Avery Vision Center Pc and his current practice location is
1002 Old U.s. 27, St. Johns, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 224-3937.
Dr Edward Peters Iv is licensed to practice in Michigan (license number 4901005114) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134613680.
Healthcare Provider's Profile
| Full Name | Dr Edward Peters Iv |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 1002 Old U.s. 27, St. Johns, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edward Peters Iv attended and graduated from Michigan College Of Medicine And Surgery in 2018
NPI Data:
- NPI Number: 1134613680
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547511503
- Enrollment ID: I20181002000147
Medical Identifiers
Medical identifiers for Dr Edward Peters Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134613680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901005114 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Avery Vision Center Pc | 5698851319 | 5 |
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 Edward Peters Iv allows following entities to bill medicare on his behalf.
| Provider Name | Avery Vision Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174677959
PECOS PAC ID: 5698851319
Enrollment ID: O20080320000622 |
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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 Edward Peters Iv 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 Address | Practice Location Address |
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Dr Edward Peters Iv, OD
1002 Old U.s. 27,
St. Johns, MI 48879
Ph: (989) 224-3937 | Dr Edward Peters Iv, OD
1002 Old U.s. 27,
St. Johns, MI 48879
Ph: (989) 224-3937 |
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