Dr Randall Erik Peterson, MD in Grovetown, GA

Dr Randall Erik Peterson, MD is a medicare enrolled "Family Medicine" physician in Grovetown, Georgia. His current practice location is 4039 Gateway Blvd, Grovetown, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 922-1600.

Dr Randall Erik Peterson is licensed to practice in Georgia (license number 72759) 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 1902124308.

Contact Information

	Dr Randall Erik Peterson, MD
	4039 Gateway Blvd, Grovetown, GA 30813-3195
	(706) 922-1600
	(706) 922-1010

Map and Direction

Physician's Profile

Full Name	Dr Randall Erik Peterson
Gender	Male
Speciality	Family Medicine
Location	4039 Gateway Blvd, Grovetown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902124308
Provider Enumeration Date: 05/10/2010
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 7113178609
Enrollment ID: I20150218001589

Medical Identifiers

Medical identifiers for Dr Randall Erik Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902124308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	72759 (Georgia)	Primary
207Q00000X	Family Medicine	14-036 (Georgia)	Secondary

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 Randall Erik Peterson allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710168117 PECOS PAC ID: 9739260019 Enrollment ID: O20080220000473

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 Randall Erik 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
Dr Randall Erik Peterson, MD Po Box 2510, Evans, GA 30809-2510 Ph: (706) 650-7799	Dr Randall Erik Peterson, MD 4039 Gateway Blvd, Grovetown, GA 30813-3195 Ph: (706) 922-1600

Reviews and Comments

Family Medicine Doctors in Grovetown, GA

Dr. Robert A Suykerbuyk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 Fax: 706-922-1010
Allison Guimaraes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 925 Branch Ct Ste 101, Grovetown, GA 30813 Phone: 706-396-1199
Mrs. Suzanne Nuriye Abbasi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 Fax: 706-922-1010
Valerie Mccartney, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600
Dr. Jennifer Porter Herbert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 Branch Ct Ste 101, Grovetown, GA 30813 Phone: 706-911-1199 Fax: 706-396-1452
Dr. Hannah Gullickson Folsom, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 Fax: 706-922-1010
Dr. Paul M Fischer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4039 Gateway Blvd, Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 Fax: 706-922-1010

Dr Randall Erik Peterson, MD - Medicare Family Medicine in Grovetown, GA