Alan C Peterson, MD | |
7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 | |
(260) 432-2297 | |
(260) 434-6420 |
Full Name | Alan C Peterson |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 44 Years |
Location | 7910 W Jefferson Blvd, Fort Wayne, Indiana |
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 |
---|---|---|---|
1477555225 | NPI | - | NPPES |
330005240 | Other | IN | RR MEDICARE |
2907251 | Medicaid | MI | |
0518649 | Medicaid | OH | |
100096130 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01031812A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Medical Group Llc | 4981751617 | 264 |
Lutheran Medical Group Llc | 4981751617 | 264 |
Entity Name | Lutheran Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Alan C Peterson, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Alan C Peterson, MD 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 Ph: (260) 432-2297 |
David P Lloyd, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Hannah Copeland, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530 | |
Bruce A. Hook, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804 Phone: 260-436-2424 Fax: 260-436-2922 | |
David T Sowden, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Joseph A Greenlee Iii, M. D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845 Phone: 260-266-2800 Fax: 260-266-2805 | |
Marcus A Jimenez, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2510 N Glendale Drive, Suite C, Fort Wayne, IN 46804 Phone: 260-432-7654 Fax: 260-432-7709 |