| Elanor Peterson, | |
|
5992 Berryhill Rd Ste 205, Milton, FL 32570-1014 | |
| (850) 626-5324 | |
| Not Available |
| Full Name | Elanor Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 5992 Berryhill Rd Ste 205, Milton, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396309092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112375 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Medical Center | Milton, FL | Hospital |
| Ascension Sacred Heart Pensacola | Pensacola, FL | Hospital |
| Baptist Hospital | Pensacola, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Rosa Hma Physician Management, Llc | 1658478532 | 51 |
| Entity Name | Santa Rosa Hma Physician Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447365366 PECOS PAC ID: 1658478532 Enrollment ID: O20070823000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Elanor Peterson, 5992 Berryhill Rd Ste 205, Milton, FL 32570-1014 Ph: (850) 293-7247 | Elanor Peterson, 5992 Berryhill Rd Ste 205, Milton, FL 32570-1014 Ph: (850) 626-5324 |
Rachael Paul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5861 Dogwood Drive, Milton, FL 32570 Phone: 850-665-2080 |
Abby Moore, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4244 Avalon Blvd, Milton, FL 32583 Phone: 448-227-5750 Fax: 448-227-9676 |
Michelle Douglas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5825 Highway 90, Milton, FL 32583 Phone: 850-266-3430 Fax: 850-626-3431 |
Matthew Sorsby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5907 Berryhill Rd, Milton, FL 32570 Phone: 850-623-9787 |
Brittany A.g. Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5992 Berryhill Rd, Ste 302, Milton, FL 32570 Phone: 850-416-4620 Fax: 850-623-3541 |
Jonathan Fain Bullman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6002 Berryhill Road, Santa Rosa Medical Center, Milton, FL 32570 Phone: 850-626-5130 |
Kaitlin Cox, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5907 Berryhill Rd, Milton, FL 32570 Phone: 850-623-9787 |