Sarah J Peterson, RD | |
555 E Broadway Ave, Ste 201, Jackson, WY 83001-8640 | |
(307) 739-7634 | |
(307) 739-7632 |
Full Name | Sarah J Peterson |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 17 Years |
Location | 555 E Broadway Ave, Jackson, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194196667 | NPI | - | NPPES |
143782800 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1016333 (Wyoming) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton County Hospital District | 4880582295 | 106 |
Provider Name | Teton County Hospital District |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Mailing Address | Practice Location Address |
---|---|
Sarah J Peterson, RD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7634 | Sarah J Peterson, RD 555 E Broadway Ave, Ste 201, Jackson, WY 83001-8640 Ph: (307) 739-7634 |
Therese Lowe Metherell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 557 East Broadway, Jackson, WY 83001 Phone: 307-733-5344 Fax: 307-733-5344 | |
Lisa Lauritzen Smith, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7357 | |
Michelle Robertson, Dietitian Medicare: Medicare Enrolled Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7361 | |
Olivia Louise Mountcastle, RDN LDN MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7361 | |
Mrs. Catherine Holland, RD, CDE, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Suite 114, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Maureen Patricia Molinari, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4234 Melody Ranch Drive, Pob 10592, Jackson, WY 83002 Phone: 307-203-2429 |