Peninsula Plastic Surgery P C
A Medicare group practice based in Millsboro, DE: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2769469097), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2769469097
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- DE, MD
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040702001135 | MD | Part B Supplier - Clinic/Group Practice | 1598710485 |
| O20051110000887 | DE | Part B Supplier - Clinic/Group Practice | 1396926242 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Peninsula Plastic Surgery P C
- Plastic and Reconstructive Surgery Physician
- Millsboro, DE
- NPI 1396926242
-
Peninsula Plastic Surgery P.C.
- Plastic Surgery Physician
- Salisbury, MD
- NPI 1598710485
-
Peninsula Plastic Surgery, P.C.
- Specialist
- Berlin, MD
- NPI 1396228995
Practice locations
- Berlin, MD1
- Salisbury, MD1
- Millsboro, DE1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (7).
-
Andrea L Erley, CRNA
- Certified Registered Nurse Anesthetist
- Lewiston, ME
- NPI 1114351269
-
Kerri Holloway, APRN
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1295272185
-
Jayme Lynn Isett, PA
- Physician Assistant
- Salisbury, MD
- NPI 1801363262
-
Thomas Kerestes, M.D.
- Plastic Surgery Physician
- Salisbury, MD
- NPI 1922455484
-
Daniel Paul Luppens, M.D.
- Plastic Surgery Physician
- Richmond, VA
- NPI 1124146501
-
Christopher J Pellegrino, M.D.
- Plastic Surgery Physician
- Salisbury, MD
- NPI 1902843105
-
Vincent J Perrotta, M.D.
- Plastic Surgery Physician
- Salisbury, MD
- NPI 1720033541
-
Elaine Ports, P.A.
- Physician Assistant
- Baltimore, MD
- NPI 1487718516
-
Emily Richardson Traum, PA C
- Physician Assistant
- Salisbury, MD
- NPI 1932405735
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.