Brian Jared Peterson, PAC - Medicare Physician Assistant in Alpine, CA

Brian Jared Peterson, PAC is a medicare enrolled "Emergency Medicine" physician in Alpine, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mary Gessner-peterson Medical Group Inc and his current practice location is 1730 Alpine Blvd Ste 109b, Alpine, California. You can reach out to his office (for appointments etc.) via phone at (619) 326-4445.

Brian Jared Peterson is licensed to practice in Pennsylvania (license number MA051614) 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 1225119621.

Contact Information

Brian Jared Peterson, PAC
1730 Alpine Blvd Ste 109b,
Alpine, CA 91901-3877
(619) 326-4445
(619) 722-1721



Physician's Profile

Full NameBrian Jared Peterson
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location1730 Alpine Blvd Ste 109b, Alpine, California
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:
  • Brian Jared Peterson graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1225119621
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587641360
  • Enrollment ID: I20110606000364

Medical Identifiers

Medical identifiers for Brian Jared Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225119621NPI-NPPES
MA051614OtherPASTATE LICENSE
1061442OtherNCCPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MA051614 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mary Gessner-peterson Medical Group Inc16585266379

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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. Brian Jared 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 AddressPractice Location Address
Brian Jared Peterson, PAC
2710 Alpine Blvd # 434,
Alpine, CA 91901-2276

Ph: (619) 326-4445
Brian Jared Peterson, PAC
1730 Alpine Blvd Ste 109b,
Alpine, CA 91901-3877

Ph: (619) 326-4445

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Emergency Medicine Doctors in Alpine, CA

James A. Packer, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4058 Willows Rd, Alpine, CA 91901
Phone: 619-445-1188    Fax: 619-659-3138

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