Kevin Peterson, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Jbsa-fort Sam Houston, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2017 and has 8 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Lone Star Anesthesia Partners Pllc and his current practice location is
3551 Rodger Brooke Dr, Jbsa-fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 916-8666.
Kevin Peterson is licensed to practice in Texas (license number S0534) 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 1790225662.
Physician's Profile
| Full Name | Kevin Peterson |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 8 Years |
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| Location | 3551 Rodger Brooke Dr, Jbsa-fort Sam Houston, Texas |
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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:
- Kevin Peterson attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2017
NPI Data:
- NPI Number: 1790225662
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 06/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800322520
- Enrollment ID: I20241204004643
Medical Identifiers
Medical identifiers for Kevin Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790225662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | S0534 (Texas) | Secondary |
| 208D00000X | General Practice | S0534 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | S0534 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lone Star Anesthesia Partners Pllc | 4880072636 | 48 |
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. Kevin Peterson allows following entities to bill medicare on his behalf.
| Entity Name | Austin Anesthesiology Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598724304
PECOS PAC ID: 0547256497
Enrollment ID: O20040424000086 |
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| Entity Name | Lone Star Anesthesia Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124760996
PECOS PAC ID: 4880072636
Enrollment ID: O20220607000810 |
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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. Kevin 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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Kevin Peterson, DO
3551 Rodger Brooke Dr, Anesthesia Residency,
Jbsa-fort Sam Houston, TX 78234-4504
Ph: (210) 916-8666 | Kevin Peterson, DO
3551 Rodger Brooke Dr,
Jbsa-fort Sam Houston, TX 78234-4504
Ph: (210) 916-8666 |
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