Dr Kyle Petersen, DO - Medicare Family Practice in Hollywood, FL

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Dr Kyle Petersen, DO is a medicare enrolled "Family Medicine" physician in Hollywood, Florida. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Emergency Medicine Services Of Fl Llc and his current practice location is 3157 N University Dr Ste 101, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at (754) 206-8250.

Dr Kyle Petersen is licensed to practice in Florida (license number OS11815) 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 1790032530.

Contact Information

Dr Kyle Petersen, DO
3157 N University Dr Ste 101,
Hollywood, FL 33024-2258
(754) 206-8250
(754) 206-8260

Map and Direction




Physician's Profile

Full NameDr Kyle Petersen
GenderMale
SpecialityFamily Practice
Experience15 Years
Location3157 N University Dr Ste 101, Hollywood, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kyle Petersen graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1790032530
  • Provider Enumeration Date: 08/10/2012
  • Last Update Date: 01/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820233984
  • Enrollment ID: I20130321000211

Medical Identifiers

Medical identifiers for Dr Kyle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790032530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS11815 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Raulerson HospitalOkeechobee, FLHospital
Good Samaritan Medical CenterWest palm beach, FLHospital

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 Kyle Petersen allows following entities to bill medicare on his behalf.
Entity NameMd Now Medical Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameAfc Physicians Of Florida, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205268208
PECOS PAC ID: 2769616762
Enrollment ID: O20131007000533
Entity NameSmall Hospital Innovations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20140715000513
Entity NameLarkin Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831558626
PECOS PAC ID: 2860781747
Enrollment ID: O20160516002410
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NameHospitalist Medicine Physicians Of Florida - Ft. Lauderdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477032522
PECOS PAC ID: 5395081129
Enrollment ID: O20190115002079
Entity NameNsi Broward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295203784
PECOS PAC ID: 5092146779
Enrollment ID: O20200513000933
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881
Entity NameBellux Medical And Aesthetics Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649052259
PECOS PAC ID: 4981145950
Enrollment ID: O20240917004200

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 Kyle Petersen 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
Dr Kyle Petersen, DO
3157 N University Dr Ste 101,
Hollywood, FL 33024-2258

Ph: (754) 206-8250		Dr Kyle Petersen, DO
3157 N University Dr Ste 101,
Hollywood, FL 33024-2258

Ph: (754) 206-8250

Reviews and Comments


Family Medicine Doctors in Hollywood, FL

Angelica Rocio Jimenez, M.D.
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Practice Location: 1150 N 35th Ave, Suite 135, Hollywood, FL 33021
Phone: 954-265-6989    Fax: 954-965-3599
Shivani Amara, M.D.
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Phone: 954-276-5552    Fax: 954-265-2570
Dr. Armando Roca Jr., D.O.
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Phone: 954-961-8394    Fax: 954-241-0445
Marcos Rejtman, DO
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Practice Location: 1150 N 35th Ave Ste 330, Hollywood, FL 33021
Phone: 954-265-4325    Fax: 954-276-0744
Dr. Alexis Jill Karstaedt, MD
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Practice Location: 9900 Stirling Rd Ste 222, Hollywood, FL 33024
Phone: 954-704-3344    Fax: 954-431-3933
Dr. Natali Brown Gonzalez, MD
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Medicare: Medicare Enrolled
Practice Location: 390 S State Road 7, Hollywood, FL 33023
Phone: 954-743-5522    Fax: 954-743-5632
Sandro Bacchelli, MD
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Practice Location: 750 S Federal Hwy, Hollywood, FL 33020
Phone: 954-342-8800    Fax: 954-342-8700

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.