Er'real Rose Marie Peterson, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Temple Terrace, Florida. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inpatient Consultants Of Florida, Inc and her current practice location is
12470 Telecom Dr Ste 100, Temple Terrace, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 779-6303.
Er'real Rose Marie Peterson is licensed to practice in Florida (license number APRN11003381) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396388500.
Physician's Profile
| Full Name | Er'real Rose Marie Peterson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 12470 Telecom Dr Ste 100, Temple Terrace, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Er'real Rose Marie Peterson graduated from medical school in 2019
NPI Data:
- NPI Number: 1396388500
- Provider Enumeration Date: 10/21/2019
- Last Update Date: 11/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082040639
- Enrollment ID: I20200130001942
Medical Identifiers
Medical identifiers for Er'real Rose Marie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396388500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | APRN11003381 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11003381 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11003381 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inpatient Consultants Of Florida, Inc | 4789614785 | 153 |
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. Er'real Rose Marie Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Inpatient Consultants Of Florida, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018 |
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| Entity Name | Florida Hospital Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20131231000600 |
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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. Er'real Rose Marie 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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Er'real Rose Marie Peterson, APRN
4320 Commons Dr W Unit 4102,
Destin, FL 32541-8655
Ph: () - | Er'real Rose Marie Peterson, APRN
12470 Telecom Dr Ste 100,
Temple Terrace, FL 33637-0904
Ph: (813) 779-6303 |
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