Morgan Peters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.006231 Issued in IL

Practice address

6702 Godfrey Rd
Godfrey, IL 62035-2205

Phone

(618) 467-1520

NPI assigned

Oct 9, 2017

Last updated

Feb 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Morgan Abert Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1790295301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 YAEGER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352205",
            "telephone_number": "618-467-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Anthonys Way",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620024568",
            "country_code": "US",
            "telephone_number": "618-474-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "ABERT",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benedicta I Odemerho, FNP
• Optimal Health Medicine LLC
• Osf Healthcare System (Osf Healthcare - Medical Group - Godfrey)
• Mary Elizabeth Pagano, FNP-C
• Parishi Patel, DO
• Julia Lynn Phillips, REGISTERED
• Piasa Manor
• Professional Hearing Associates LLC
• Joel William Regnery, RPH
• Residential Options, Inc

• Physician Assistant in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.