Dr Nicolas Lee Peters, MD in Mesa, AZ

Dr Nicolas Lee Peters, MD is a medicare enrolled "Pediatrics" physician in Mesa, Arizona. His current practice location is 2204 S Dobson Rd Ste 102, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 485-5166.

Dr Nicolas Lee Peters is licensed to practice in New Mexico (license number MD2017-0087) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487844791.

Contact Information

	Dr Nicolas Lee Peters, MD
	2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457
	(480) 485-5166
	(877) 991-6652

Map and Direction

Physician's Profile

Full Name	Dr Nicolas Lee Peters
Gender	Male
Speciality	Pediatrics
Location	2204 S Dobson Rd Ste 102, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487844791
Provider Enumeration Date: 08/01/2007
Last Update Date: 09/20/2025

Medicare PECOS Information:

PECOS PAC ID: 6608023130
Enrollment ID: I20120905000699

Medical Identifiers

Medical identifiers for Dr Nicolas Lee Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487844791	NPI	-	NPPES
845215	Medicaid	AZ
98035339	Medicaid	NM
0070938	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0207X	Pediatrics - Pediatric Hematology-oncology	48190 (Arizona)	Secondary
208000000X	Pediatrics	48190 (Arizona)	Secondary
208000000X	Pediatrics	35.094612 (Ohio)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	35.094612 (Ohio)	Secondary
246QM0706X	Specialist/technologist, Pathology - Medical Technologist	(* (Not Available))	Secondary
208M00000X	Hospitalist	48190 (Arizona)	Secondary
208M00000X	Hospitalist	MD2017-0087 (New Mexico)	Secondary
208000000X	Pediatrics	MD2017-0087 (New Mexico)	Primary

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 Nicolas Lee Peters allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

Entity Name	Muskingum Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205018348 PECOS PAC ID: 4789760216 Enrollment ID: O20080618000216

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 Nicolas Lee Peters 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
Dr Nicolas Lee Peters, MD 70 S Val Vista Dr Ste A3-618, Gilbert, AZ 85296-1374 Ph: (480) 485-5166	Dr Nicolas Lee Peters, MD 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (480) 485-5166

Reviews and Comments

Pediatrics Doctors in Mesa, AZ

Madhuri Kashyap, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000
Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013
Naresh Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-4100 Fax: 480-412-5154
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551

Dr Nicolas Lee Peters, MD - Medicare Pediatrics in Mesa, AZ