Dr Samuel Nolan Peterson, AUD | |
1867 Williams Hwy, Ste. 105, Grants Pass, OR 97527-5854 | |
(541) 474-4694 | |
(541) 474-9590 |
Full Name | Dr Samuel Nolan Peterson |
---|---|
Gender | Male |
Speciality | Qualified Audiologist |
Experience | 13 Years |
Location | 1867 Williams Hwy, Grants Pass, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720332968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 23642 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Provider Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Nolan Peterson, AUD 1867 Williams Hwy, Ste. 105, Grants Pass, OR 97527-5854 Ph: (541) 474-4694 | Dr Samuel Nolan Peterson, AUD 1867 Williams Hwy, Ste. 105, Grants Pass, OR 97527-5854 Ph: (541) 474-4694 |
Mr. Carl Stacey Berg, MASTER OF SCIENCE MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1867 Williams Hwy, Suite 105, Grants Pass, OR 97527 Phone: 541-474-4694 Fax: 541-474-9590 | |
Mr. Carl Jeffrey Berg, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527 Phone: 541-474-4694 | |
Craig Berg, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527 Phone: 541-474-4694 | |
Audiology Associates Of Southern Oregon, Inc. Audiologist Medicare: Medicare Enrolled Practice Location: 1665 Williams Hwy, Grants Pass, OR 97527 Phone: 541-474-4694 |