Jayme M Peterson, PAC - Medicare Physician Assistant in Melbourne, FL

Jayme M Peterson, PAC is a medicare enrolled "Physician Assistant" in Melbourne, Florida. Her current practice location is 2080 W Eau Gallie Blvd, Suite A, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 254-6218.

Jayme M Peterson is licensed to practice in Florida (license number PA 9103306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063588135.

Contact Information

Jayme M Peterson, PAC
2080 W Eau Gallie Blvd, Suite A,
Melbourne, FL 32935-3185
(321) 254-6218
(321) 254-6230



Provider's Profile

Full NameJayme M Peterson
GenderFemale
SpecialityPhysician Assistant
Location2080 W Eau Gallie Blvd, Melbourne, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063588135
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 02/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749250538
  • Enrollment ID: I20051018000688

Medical Identifiers

Medical identifiers for Jayme M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063588135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA 9103306 (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. Jayme M 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
Jayme M Peterson, PAC
Po Box 361907,
Melbourne, FL 32936-1907

Ph: (321) 254-6218
Jayme M Peterson, PAC
2080 W Eau Gallie Blvd, Suite A,
Melbourne, FL 32935-3185

Ph: (321) 254-6218

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Physician Assistant Nurses in Melbourne, FL

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