Dr Kevin Thomas Petersen, DO - Medicare Surgery in Portsmouth, VA

Dr Kevin Thomas Petersen, DO is a medicare enrolled "Surgery" physician in Portsmouth, Virginia. His current practice location is 620 John Paul Jones Cir Dept General, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-2544.

Dr Kevin Thomas Petersen is licensed to practice in New York (license number 294233) 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 1356778419.

Contact Information

Dr Kevin Thomas Petersen, DO
620 John Paul Jones Cir Dept General,
Portsmouth, VA 23708-2197
(757) 953-2544
Not Available



Physician's Profile

Full NameDr Kevin Thomas Petersen
GenderMale
SpecialitySurgery
Location620 John Paul Jones Cir Dept General, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356778419
  • Provider Enumeration Date: 10/03/2013
  • Last Update Date: 06/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426389495
  • Enrollment ID: I20191007001918

Medical Identifiers

Medical identifiers for Dr Kevin Thomas Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356778419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 294233 (New York)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. Dr Kevin Thomas 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
Dr Kevin Thomas Petersen, DO
620 John Paul Jones Cir Dept General,
Portsmouth, VA 23708-2197

Ph: () -
Dr Kevin Thomas Petersen, DO
620 John Paul Jones Cir Dept General,
Portsmouth, VA 23708-2197

Ph: (757) 953-2544

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› Verified 6 days ago


Surgery Doctors in Portsmouth, VA

Dr. Shelley Kathleen Perkins, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708
Phone: 443-510-5264    
Dr. Francis Patrick Cuozzo, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708
Phone: 757-953-5008    
Dr. Hilary Mckinley, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Lauren Daugherty, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Dr. Susan Christine Clark, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: 757-953-9759    Fax: 757-953-0845
Jonathan L Halbach, D.O.
Surgery
Medicare: Medicare Enrolled
Practice Location: Nmrtc Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: 757-953-2446    
Dr. Daniel Paul Sanford, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-0669    

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