Alec Petersen, - Medicare Internal Medicine in Pembroke Pines, FL

Alec Petersen, is a medicare enrolled "Internal Medicine" physician in Pembroke Pines, Florida. His current practice location is 880 Sw 145th Ave Ste 202, Pembroke Pines, Florida. You can reach out to his office (for appointments etc.) via phone at (615) 275-6612.

Alec Petersen is licensed to practice in Florida (license number ME145182) 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 1013370568.

Contact Information

Alec Petersen,
880 Sw 145th Ave Ste 202,
Pembroke Pines, FL 33027-6171
(615) 275-6612
Not Available



Physician's Profile

Full NameAlec Petersen
GenderMale
SpecialityInternal Medicine
Location880 Sw 145th Ave Ste 202, Pembroke Pines, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013370568
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153618186
  • Enrollment ID: I20160920000280

Medical Identifiers

Medical identifiers for Alec Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013370568NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 67960 (Tennessee)Secondary
207R00000XInternal Medicine 35.144623 (Ohio)Secondary
207R00000XInternal Medicine 45918 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine 036167875 (Illinois)Secondary
207R00000XInternal Medicine 2021-02940 (North Carolina)Secondary
207R00000XInternal Medicine T5434 (Texas)Secondary
207R00000XInternal Medicine ME145182 (Florida)Primary

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. Alec Petersen 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
Alec Petersen,
2801 Sw 149th Ave Ste 100,
Miramar, FL 33027-4166

Ph: (617) 732-6660
Alec Petersen,
880 Sw 145th Ave Ste 202,
Pembroke Pines, FL 33027-6171

Ph: (615) 275-6612

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Internal Medicine Doctors in Pembroke Pines, FL

Dr. Farhan Abid, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 N Flamingo Rd Ste 416, Pembroke Pines, FL 33028
Phone: 954-947-7545    Fax: 954-301-3770
Dr. Katherine A Kosche, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12251 Taft Street, Suite 401, Pembroke Pines, FL 33026
Phone: 954-433-5900    Fax: 954-447-1933
Dr. Aurore Marie Oughourlian, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 10280 Pines Blvd Ste P701, Pembroke Pines, FL 33026
Phone: 954-323-8446    Fax: 954-323-8207
Dr. Eric M Rishe, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 12309 Pembroke Rd, Pembroke Pines, FL 33025
Phone: 917-570-6945    Fax: 954-432-6266
Arian Pupo Quintana, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 9980 Pines Blvd, Pembroke Pines, FL 33024
Phone: 954-334-3151    Fax: 305-675-5719
Milton Gedallovich, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 603 N Flamingo Rd, Suite 258, Pembroke Pines, FL 33028
Phone: 954-430-2343    Fax: 954-438-2983

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