Dennis L Peterson, MD | |
1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 | |
(320) 240-3157 | |
(320) 240-3143 |
Full Name | Dennis L Peterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1555 Northway Drive, St Cloud, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508885013 | NPI | - | NPPES |
01-25185 | Other | MN | MEDICA |
2F977PE | Other | MN | BLUE CROSS BLUE SHIELD |
080049494 | Other | MN | RR MEDICARE |
118202100 | Medicaid | MN | |
325101845 | Other | MN | PRIMEWEST |
764610 | Other | MN | ARAZ |
HP21681 | Other | MN | HEALTH PARTNERS |
114462 | Other | MN | UCARE |
MR1081007925 | Other | MN | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33856 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Centracare Health System - Sauk Centre | Sauk centre, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
St Cloud Hospital | 4880594779 | 187 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Mailing Address | Practice Location Address |
---|---|
Dennis L Peterson, MD 1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 Ph: (320) 240-3157 | Dennis L Peterson, MD 1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 Ph: (320) 240-3157 |
Elizabeth A Riesgraf, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, St Cloud, MN 56303 Phone: 320-229-4917 Fax: 320-229-5181 | |
Paula Ann Lindhorst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-203-2113 | |
Christopher F Schearer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 Northway Court, Centracare Clinic Heartland, St Cloud, MN 56303 Phone: 320-251-1775 Fax: 320-240-3131 | |
Dr. Maureen L Kemper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, #1450, Centracare Clinic Health Plaza Specialty/family Medicin, St Cloud, MN 56303 Phone: 320-229-4917 | |
Lina Daugela, MD PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 County Road 120, Centracare Clinic St Cloud Medical Group Northwest, St Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-257-1733 | |
Kevin R Switzer, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143 | |
Dr. Joseph M Blonski, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143 |