David Allen Peterson, MD | |
801 W Gordon St, Thomaston, GA 30286-3426 | |
(706) 647-8111 | |
(706) 647-4389 |
Full Name | David Allen Peterson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 51 Years |
Location | 801 W Gordon St, Thomaston, Georgia |
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 |
---|---|---|---|
1699768382 | NPI | - | NPPES |
708309 | Other | BLUE CROSS BLUE SHIELD | |
P00160614 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 022458 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upson Regional Medical Center | Thomaston, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guardian Medical Services Llc | 8325347735 | 16 |
Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
Entity Name | Synergy Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
Entity Name | Nmda Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
Entity Name | Guardian Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
Mailing Address | Practice Location Address |
---|---|
David Allen Peterson, MD Po Box 589, Thomaston, GA 30286-0008 Ph: (706) 647-8111 | David Allen Peterson, MD 801 W Gordon St, Thomaston, GA 30286-3426 Ph: (706) 647-8111 |
Mary Street Logan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-4389 |