| Dr. Jason N. Peet, M.d., P.a. | |
|
110 E. Live Oak St. Fredericksburg TX 78624-4450 | |
| (830) 997-5559 | |
| (830) 997-5558 |
| Full Name | Dr. Jason N. Peet, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 110 E. Live Oak St., Fredericksburg, Texas |
| Authorized Official Name and Position | Tana D Saunders (OFFICE MANAGER) |
| Authorized Official Contact | 8309975559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jason N. Peet, M.d., P.a. 110 E. Live Oak St. Fredericksburg TX 78624-4450 Ph: (830) 997-5559 | Dr. Jason N. Peet, M.d., P.a. 110 E. Live Oak St. Fredericksburg TX 78624-4450 Ph: (830) 997-5559 |
| NPI Number | 1467603944 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 9133282718 |
|---|---|
| Medicare Enrollment ID | O20090107000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467603944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7861 (Texas) | Primary |
| Provider Name | Jason N Peet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306880786 PECOS PAC ID: 3072675800 Enrollment ID: I20090102000318 |
| Provider Name | Amy Beth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144629734 PECOS PAC ID: 1658697552 Enrollment ID: I20150312001695 |
| Provider Name | Anna R Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528166535 PECOS PAC ID: 3870892243 Enrollment ID: I20171019002469 |
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