Anne E Petersen, MD | |
1601 E Broadway, Ste 240, Columbia, MO 65201-8020 | |
(573) 815-8145 | |
(573) 815-3832 |
Full Name | Anne E Petersen |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 23 Years |
Location | 1601 E Broadway, Columbia, Missouri |
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 |
---|---|---|---|
1114968435 | NPI | - | NPPES |
P00344374 | Other | MO | RAILROAD MEDICARE |
201431509 | Medicaid | MO | |
CD6061 | Other | MO | RAILROAD GROUP |
767347 | Other | MO | HEALTHLINK |
210746 | Other | MO | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2006010643 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boone Hospital Center | Columbia, MO | Hospital |
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boone Physician Services Llc | 6507090644 | 228 |
Entity Name | Boone Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
Mailing Address | Practice Location Address |
---|---|
Anne E Petersen, MD 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (573) 815-8145 | Anne E Petersen, MD 1601 E Broadway, Ste 240, Columbia, MO 65201-8020 Ph: (573) 815-8145 |
Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141 | |
Alice Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-5609 Fax: 573-884-6054 | |
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000 | |
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054 | |
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346 | |
Dr. Kelley Marie Ray, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2000 |