Paul D Peterson, PA is a
Physician Assistant - Medical physician based in Killeen, Texas. Paul D Peterson is licensed to practice in Texas (license number PA01398) and his current practice location is 2207 S Clear Creek Rd, Ste 304, Killeen, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 526-2085.
NPI number for Paul D Peterson is 1861494486 and his current mailing address is Po Box 4189, Austin Heart, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861494486.
Physician's Profile
| Full Name | Paul D Peterson |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 2207 S Clear Creek Rd, Killeen, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861494486
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 10/24/2007
Medical Identifiers
Medical identifiers for Paul D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861494486 | NPI | - | NPPES |
| 85N216 | Other | TX | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | PA01398 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA01398 (Texas) | Primary |
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. Paul D Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul D Peterson, PA
Po Box 4189, Austin Heart,
Austin, TX 78765-4189
Ph: (512) 206-4300 | Paul D Peterson, PA
2207 S Clear Creek Rd, Ste 304,
Killeen, TX 76549-4132
Ph: (254) 526-2085 |
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