Peter Stevan Jerome, MD in Longview, TX - Medicare Internal Medicine

Peter Stevan Jerome, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Longview, Texas. His current practice location is 700 E Marshall Ave, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-1488.

Peter Stevan Jerome is licensed to practice in Texas (license number P4321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396740668.

Contact Information

	Peter Stevan Jerome, MD
	700 E Marshall Ave, Longview, TX 75601-5580
	(903) 315-1488
	(903) 315-1656

Map and Direction

Physician's Profile

Full Name	Peter Stevan Jerome
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	700 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396740668
Provider Enumeration Date: 06/14/2005
Last Update Date: 01/11/2021

Medicare PECOS Information:

PECOS PAC ID: 7315915733
Enrollment ID: I20081215000153

Medical Identifiers

Medical identifiers for Peter Stevan Jerome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396740668	NPI	-	NPPES
P00849680	Other	MN	RAILROAD MEDICARE
P02137176	Other	TX	MEDICARE RAILROAD
393948001	Medicaid	TX
ENROLLED	Medicaid	IA
31692500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	12731 (North Dakota)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	51376 (Minnesota)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	23793 (Wisconsin)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	M-12784 (Idaho)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	M-12784 (Idaho)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	P4321 (Texas)	Primary

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. Peter Stevan Jerome allows following entities to bill medicare on his behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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. Peter Stevan Jerome 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
Peter Stevan Jerome, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 433-7351	Peter Stevan Jerome, MD 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-1488

Reviews and Comments

Internal Medicine Doctors in Longview, TX

Zehra Hussain, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Dr. Stanislav Weiner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 5008, Longview, TX 75601 Phone: 903-315-4880
John Odneal, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-5171 Fax: 903-315-1888
Kayvan Kamali, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Judson Rd, Longview, TX 75601 Phone: 903-236-7020 Fax: 903-236-7093
Yashashree A Vegi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Allessia Wilson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-291-6115
Dr. Michael Francis Broderick, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2901 4th St, Longview, TX 75605 Phone: 903-758-1818

Peter Stevan Jerome, MD - Medicare Internal Medicine in Longview, TX