Saint Peter Medical Center is a medicare enrolled "Orthopaedic Surgery" provider in El Cajon, California. Their current practice location is
330 S Magnolia Ave Ste 302, El Cajon, California. You can reach out to their office (for appointments etc.) via phone at
(619) 332-8484.
Saint Peter Medical Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Saint Peter Medical Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295262392.
Healthcare Provider's Profile
| Full Name | Saint Peter Medical Center |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 330 S Magnolia Ave Ste 302, El Cajon, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295262392
- Provider Enumeration Date: 05/19/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062782113
- Enrollment ID: O20170721001421
Medical Identifiers
Medical identifiers for Saint Peter Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295262392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Saint Peter Medical Center acts as a billing entity for following providers:
| Provider Name | Vimal I Nanavati |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1851408082
PECOS PAC ID: 8325094535
Enrollment ID: I20050330000508 |
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| Provider Name | Labeed S Nouri |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1154355709
PECOS PAC ID: 5496708174
Enrollment ID: I20170417001813 |
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| Provider Name | Adelina Marie-robles Gillham |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1811713837
PECOS PAC ID: 4981133964
Enrollment ID: I20250121000227 |
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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. Saint Peter Medical Center 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 |
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Saint Peter Medical Center
330 S Magnolia Ave Ste 302,
El Cajon, CA 92020-5224
Ph: (619) 332-8484 | Saint Peter Medical Center
330 S Magnolia Ave Ste 302,
El Cajon, CA 92020-5224
Ph: (619) 332-8484 |
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