Sofia Peterson, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Calimesa, California. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Life Connect Medical, Inc and her current practice location is
37710 Leta Dr, Calimesa, California. You can reach out to her office (for appointments etc.) via phone at
(909) 602-3107.
Sofia Peterson is licensed to practice in California (license number A76621) 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 1386664498.
Physician's Profile
Full Name | Sofia Peterson |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 28 Years |
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Location | 37710 Leta Dr, Calimesa, California |
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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. |
Medical Education and Training:
- Sofia Peterson graduated from medical school in 1996
NPI Data:
- NPI Number: 1386664498
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 1456436476
- Enrollment ID: I20080313000734
Medical Identifiers
Medical identifiers for Sofia Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386664498 | NPI | - | NPPES |
00A766210 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | A76621 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Life Connect Medical, Inc | 7416017751 | 2 |
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. Sofia Peterson allows following entities to bill medicare on her behalf.
Entity Name | Life Connect Medical, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245489384 PECOS PAC ID: 7416017751 Enrollment ID: O20081117000684 |
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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. Sofia 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 |
Sofia Peterson, MD 37710 Leta Dr, Calimesa, CA 92320-1446 Ph: (909) 602-3107 | Sofia Peterson, MD 37710 Leta Dr, Calimesa, CA 92320-1446 Ph: (909) 602-3107 |
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