Dr Peter Fonseca, MD - Medicare Thoracic Surgery in Bridgeton, MO

Dr Peter Fonseca, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bridgeton, Missouri. He went to Saint Louis University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Ssm Medical Group Inc and his current practice location is 12266 De Paul Dr Ste 205, Bridgeton, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 647-8269.

Dr Peter Fonseca is licensed to practice in Missouri (license number 116658) 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 1760483101.

Contact Information

Dr Peter Fonseca, MD
12266 De Paul Dr Ste 205,
Bridgeton, MO 63044-2514
(314) 647-8269
Not Available



Physician's Profile

Full NameDr Peter Fonseca
GenderMale
SpecialityThoracic Surgery
Experience37 Years
Location12266 De Paul Dr Ste 205, Bridgeton, Missouri
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:
  • Dr Peter Fonseca attended and graduated from Saint Louis University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1760483101
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 11/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638217425
  • Enrollment ID: I20091116000591

Medical Identifiers

Medical identifiers for Dr Peter Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760483101NPI-NPPES
507190205MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 116658 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Depaul Health CenterBridgeton, MOHospital
Ssm St Joseph Health CenterSaint charles, MOHospital
Ssm St Joseph Hospital WestLake saint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299491

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter Fonseca allows following entities to bill medicare on his behalf.
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034

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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. Dr Peter Fonseca 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 Peter Fonseca, MD
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -
Dr Peter Fonseca, MD
12266 De Paul Dr Ste 205,
Bridgeton, MO 63044-2514

Ph: (314) 647-8269

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Bridgeton, MO

Dr. David A Theodoro, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 12255 De Paul Dr North Bldg, Ste 260, Bridgeton, MO 63044
Phone: 314-647-8269    Fax: 314-646-1700

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