Brian Jared Peterson, PAC is a medicare enrolled "Emergency Medicine" physician in Alpine, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mary Gessner-peterson Medical Group Inc and his current practice location is
1730 Alpine Blvd Ste 109b, Alpine, California. You can reach out to his office (for appointments etc.) via phone at
(619) 326-4445.
Brian Jared Peterson is licensed to practice in Pennsylvania (license number MA051614) 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 1225119621.
Physician's Profile
| Full Name | Brian Jared Peterson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 1730 Alpine Blvd Ste 109b, Alpine, California |
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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:
- Brian Jared Peterson graduated from medical school in 2003
NPI Data:
- NPI Number: 1225119621
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587641360
- Enrollment ID: I20110606000364
Medical Identifiers
Medical identifiers for Brian Jared Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225119621 | NPI | - | NPPES |
| MA051614 | Other | PA | STATE LICENSE |
| 1061442 | Other | | NCCPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MA051614 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mary Gessner-peterson Medical Group Inc | 1658526637 | 9 |
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. Brian Jared 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 Address | Practice Location Address |
|---|
Brian Jared Peterson, PAC
2710 Alpine Blvd # 434,
Alpine, CA 91901-2276
Ph: (619) 326-4445 | Brian Jared Peterson, PAC
1730 Alpine Blvd Ste 109b,
Alpine, CA 91901-3877
Ph: (619) 326-4445 |
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