Dr Peter Shi, DO - Medicare Hospitalist in Jackson, TN

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Dr Peter Shi, DO is a medicare enrolled "Internal Medicine" physician in Jackson, Tennessee. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2014 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Maury Regional Medical Group, Inc, Sebastian Physician Services, Pllc, Emergency Medicine Associates, P.a.,p.c., Inova Health Care Services and his current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-4923.

Dr Peter Shi is licensed to practice in Indiana (license number 02005562A) 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 1336569904.

Contact Information

Dr Peter Shi, DO
620 Skyline Dr,
Jackson, TN 38301-3923
(731) 541-4923
Not Available

Map and Direction




Physician's Profile

Full NameDr Peter Shi
GenderMale
SpecialityHospitalist
Experience11 Years
Location620 Skyline Dr, Jackson, Tennessee
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 Peter Shi attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2014
  NPI Data:
  • NPI Number: 1336569904
  • Provider Enumeration Date: 04/22/2014
  • Last Update Date: 10/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901178946
  • Enrollment ID: I20170825000224

Medical Identifiers

Medical identifiers for Dr Peter Shi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336569904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 3196 (Tennessee)Secondary
207R00000XInternal Medicine 02005562A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fairfax HospitalFalls church, VAHospital
Baptist Health - Fort SmithFort smith, ARHospital
Bon Secours Memorial Regional Medical CenterMechanicsville, VAHospital
Maury Regional HospitalColumbia, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maury Regional Medical Group, Inc7911810742101
Sebastian Physician Services, Pllc529417844846
Emergency Medicine Associates, P.a.,p.c.8022914522526
Inova Health Care Services24663510931588

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 Peter Shi allows following entities to bill medicare on his behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameApogee Medical Group Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578717682
PECOS PAC ID: 4688721863
Enrollment ID: O20090403000215
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088

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 Peter Shi 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 Peter Shi, DO
1804 Highway 45 Byp Ste 604,
Jackson, TN 38305-4403

Ph: (731) 660-8781		Dr Peter Shi, DO
620 Skyline Dr,
Jackson, TN 38301-3923

Ph: (731) 541-4923

Reviews and Comments


Internal Medicine Doctors in Jackson, TN

John Baker, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 587 Skyline Dr, Jackson, TN 38301
Phone: 731-421-6510    Fax: 731-421-6500
Dr. Susan Alex, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305
Phone: 731-668-4337    Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8336
Kpienoba Manan Hien, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Lucas Carver,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-541-5000    
Dr. Clyde E Smith, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 27 Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    
Brittain Douglas Little, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27a Medical Center Dr, Jackson, TN 38301
Phone: 731-424-1001    Fax: 731-426-0388

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.