Brandon Robert Peterson, | |
13103 E Mansfield Ave, Spokane Valley, WA 99216-1642 | |
(509) 892-2700 | |
Not Available |
Full Name | Brandon Robert Peterson |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 14 Years |
Location | 13103 E Mansfield Ave, Spokane Valley, Washington |
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 |
---|---|---|---|
1508184516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A118372 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kadlec Regional Medical Center | Richland, WA | Hospital |
St Anthony Hospital | Pendleton, OR | Hospital |
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Trios Health | Kennewick, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Incyte Pathology Ps | 9638067945 | 40 |
Entity Name | Incyte Pathology Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326086745 PECOS PAC ID: 9638067945 Enrollment ID: O20040309000085 |
Mailing Address | Practice Location Address |
---|---|
Brandon Robert Peterson, 1845 29th St, San Diego, CA 92102-1147 Ph: (414) 208-6597 | Brandon Robert Peterson, 13103 E Mansfield Ave, Spokane Valley, WA 99216-1642 Ph: (509) 892-2700 |
Dr. Nicole Renee Turner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Avenue, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Michele Rooney, Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Ave, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Jon Vernon Rittenbach, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Avenue, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Isaac Ruben Grindeland, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Avenue, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Dr. Joshua Judd Fite, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Ave, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 | |
Kara Chan Phelps, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Ave, Spokane Valley, WA 99216 Phone: 509-892-2700 | |
Liqun Yin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 13103 E Mansfield Ave, Spokane Valley, WA 99216 Phone: 509-892-2700 Fax: 509-892-2740 |