Cory Grant Peters, PA - Medicare Physician Assistant in Jacksonville, FL

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Cory Grant Peters, PA is a medicare enrolled "Physician Assistant - Surgical" in Jacksonville, Florida. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ability Health Services, Inc, Ability Health Services And Rehabilitation Lp, Mayo Clinic Jacksonville and his current practice location is 10475 Centurion Pkwy N, Suite 220, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 634-0640.

Cory Grant Peters is licensed to practice in Florida (license number PA9106781) 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 1144395708.

Contact Information

Cory Grant Peters, PA
10475 Centurion Pkwy N, Suite 220,
Jacksonville, FL 32256
(904) 634-0640
(904) 634-0203

Map and Direction




Provider's Profile

Full NameCory Grant Peters
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location10475 Centurion Pkwy N, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cory Grant Peters graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1144395708
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759530546
  • Enrollment ID: I20121011000685

Medical Identifiers

Medical identifiers for Cory Grant Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144395708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9106781 (Florida)Secondary
363AS0400XPhysician Assistant - Surgical PA9106781 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo ClinicJacksonville, FLHospital
Brooks Rehabilitation Hospital University CampusJacksonville, FLInpatient rehabilitation facility

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ability Health Services, Inc40825233291249
Ability Health Services And Rehabilitation Lp49819862881260
Mayo Clinic Jacksonville56986892971595

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. Cory Grant Peters allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388
Entity NameSoutheast Orthopedic Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629025820
PECOS PAC ID: 1456246974
Enrollment ID: O20040216000301

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. Cory Grant Peters 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 AddressPractice Location Address
Cory Grant Peters, PA
6800 Southpoint Pkwy Ste 300,
Jacksonville, FL 32216-8203

Ph: (904) 634-0640		Cory Grant Peters, PA
10475 Centurion Pkwy N, Suite 220,
Jacksonville, FL 32256

Ph: (904) 634-0640

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.