Alisa Gay Peterson, DO - Medicare Internal Medicine in Stephenville, TX

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Alisa Gay Peterson, DO is a medicare enrolled "Internal Medicine" physician in Stephenville, Texas. She went to Ohio State University College Of Homeopathic Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lake Granbury Hospital-based Professional Services and her current practice location is 411 N Belknap St, Stephenville, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 965-1152.

Alisa Gay Peterson is licensed to practice in Texas (license number L7109) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609842525.

Contact Information

Alisa Gay Peterson, DO
411 N Belknap St,
Stephenville, TX 76401-3415
(254) 965-1152
(254) 965-1156

Map and Direction




Physician's Profile

Full NameAlisa Gay Peterson
GenderFemale
SpecialityInternal Medicine
Experience32 Years
Location411 N Belknap St, Stephenville, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisa Gay Peterson attended and graduated from Ohio State University College Of Homeopathic Medicine in 1994
  NPI Data:
  • NPI Number: 1609842525
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 05/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6709890932
  • Enrollment ID: I20060126000889

Medical Identifiers

Medical identifiers for Alisa Gay Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609842525NPI-NPPES
8F3319OtherTXBLUE CROSS BLUE SHIELD
TX6027610OtherTXCHAMPUS
161152702MedicaidTX
P00322298OtherTXRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine L7109 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Granbury Medical CenterGranbury, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Granbury Hospital-based Professional Services397194096637

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. Alisa Gay Peterson allows following entities to bill medicare on her behalf.
Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620
Entity NameLake Granbury Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043992001
PECOS PAC ID: 6204280779
Enrollment ID: O20231003000017
Entity NameLake Granbury Hospital-based Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689443467
PECOS PAC ID: 3971940966
Enrollment ID: O20240326003607

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. Alisa Gay Peterson 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
Alisa Gay Peterson, DO
Po Box 910042,
Dallas, TX 75391-0042

Ph: (972) 788-1692		Alisa Gay Peterson, DO
411 N Belknap St,
Stephenville, TX 76401-3415

Ph: (254) 965-1152

Reviews and Comments


Internal Medicine Doctors in Stephenville, TX

Dr. Jeffrey Moore, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 River North Blvd, Stephenville, TX 76401
Phone: 254-968-6051    Fax: 254-968-4204
Dr. Sreenivas Gudimetla, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 River North Blvd, Stephenville, TX 76401
Phone: 254-968-6051    Fax: 254-968-4950
Miranda Nash, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 River North Blvd, Stephenville, TX 76401
Phone: 254-968-6051    
Dr. Lester Ong, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 River North Blvd, Stephenville, TX 76401
Phone: 254-968-6051    Fax: 254-968-4204
Donald E Benson, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 411 N Belknap St, Stephenville, TX 76401
Phone: 817-250-4906    Fax: 817-250-4815
Dr. Boris Derek Curwen, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 N Belknap St, Stephenville, TX 76401
Phone: 817-820-4906    Fax: 817-820-4815

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.