Dr Wylan Cornelius Peterson, MD - Medicare Critical Care (intensivists) in Fort Sam Houston, TX

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Dr Wylan Cornelius Peterson, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fort Sam Houston, Texas. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Cepamerica Texas Pa, Gulf Coast Intensivists, Pllc, Texas Acute Care Surgery Llc and his current practice location is 3551 Roger Brooke Dr, Att'n Ms. Shawana Judge, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-1064.

Dr Wylan Cornelius Peterson is licensed to practice in Texas (license number Q0151) 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 1659395523.

Contact Information

Dr Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504
(210) 916-1064
Not Available

Map and Direction




Physician's Profile

Full NameDr Wylan Cornelius Peterson
GenderMale
SpecialityCritical Care (intensivists)
Experience23 Years
Location3551 Roger Brooke Dr, Fort Sam Houston, Texas
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 Wylan Cornelius Peterson attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1659395523
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 03/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799731105
  • Enrollment ID: I20141222001144

Medical Identifiers

Medical identifiers for Dr Wylan Cornelius Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659395523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care Q0151 (Texas)Secondary
208600000XSurgery Q0151 (Texas)Secondary
208600000XSurgery 35-08-5446 (Ohio)Secondary
207RC0200XInternal Medicine - Critical Care Medicine Q0151 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St David's South Austin Medical CenterAustin, TXHospital
Christus Spohn Hospital Corpus ChristiCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Texas Pa660827835320
Gulf Coast Intensivists, Pllc226489636435
Texas Acute Care Surgery Llc87294629818

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 Wylan Cornelius Peterson allows following entities to bill medicare on his behalf.
Entity NameOrthopaedic Associates Of Central Tx Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518061092
PECOS PAC ID: 3971583840
Enrollment ID: O20040721001334
Entity NameCapital Area Surgeons Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285831412
PECOS PAC ID: 0840377594
Enrollment ID: O20080407000107
Entity NameTexas Ips Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629368535
PECOS PAC ID: 9638356801
Enrollment ID: O20110616000075
Entity NameConner Intensivist Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154980332
PECOS PAC ID: 0446587927
Enrollment ID: O20190806002774
Entity NameCepamerica Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881269934
PECOS PAC ID: 6608278353
Enrollment ID: O20210716002629
Entity NameTexas Acute Care Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699430298
PECOS PAC ID: 8729462981
Enrollment ID: O20220907002310
Entity NameGulf Coast Intensivists, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104509199
PECOS PAC ID: 2264896364
Enrollment ID: O20230907002726

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 Wylan Cornelius 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 AddressPractice Location Address
Dr Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504

Ph: (210) 916-1064		Dr Wylan Cornelius Peterson, MD
3551 Roger Brooke Dr, Att'n Ms. Shawana Judge,
Fort Sam Houston, TX 78234-4504

Ph: (210) 916-1064

Reviews and Comments


Internal Medicine Doctors in Fort Sam Houston, TX

Dr. Rosemary Chacko, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-9582    Fax: 210-916-5102
Andre John Ognibene, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234
Phone: 210-916-5993    
Christopher Paul Irwin, M.D
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 916-210-2338    
Gilbert Patrick Ancira, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-916-4808    
Sarah Dang, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234
Phone: 210-539-7074    
Dr. Raul A. Rivera, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd (credentials), Fort Sam Houston, TX 78234
Phone: 210-916-2460    
Dr. Leslie Ann Wood, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3551 Rogers Brooke Drive, San Antonio Military Medical Center, Fort Sam Houston, TX 78234
Phone: 210-916-9844    

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.