Dr Thomas Peterson, DNP is a medicare enrolled "Family Medicine" physician in Brownsville, California. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Iliuliuk Family And Health Services Inc, Iliuliuk Family And Health Services Inc and his current practice location is
16911 Willow Glen Rd., Brownsville, California. You can reach out to his office (for appointments etc.) via phone at
(530) 675-0466.
Dr Thomas Peterson is licensed to practice in California (license number 95008779) 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 1538673181.
Physician's Profile
| Full Name | Dr Thomas Peterson |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 16911 Willow Glen Rd., Brownsville, 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:
- Dr Thomas Peterson graduated from medical school in 2017
NPI Data:
- NPI Number: 1538673181
- Provider Enumeration Date: 11/18/2017
- Last Update Date: 05/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486918406
- Enrollment ID: I20231207003649
Medical Identifiers
Medical identifiers for Dr Thomas Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538673181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | NP35008779 (California) | Secondary |
| 207Q00000X | Family Medicine | F11170360 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 95008779 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Iliuliuk Family And Health Services Inc | 5294635165 | 11 |
| Iliuliuk Family And Health Services Inc | 5294635165 | 11 |
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 Thomas Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Iliuliuk Family And Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376520692
PECOS PAC ID: 5294635165
Enrollment ID: O20040109000063 |
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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 Thomas 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 |
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Dr Thomas Peterson, DNP
Po Box 255228,
Sacramento, CA 95865-5228
Ph: (916) 708-8038 | Dr Thomas Peterson, DNP
16911 Willow Glen Rd.,
Brownsville, CA 95919
Ph: (530) 675-0466 |
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