Diana L Peterson, MD | |
400 Burdick Expy E, Minot, ND 58701-4768 | |
(701) 857-5413 | |
(701) 857-5028 |
Full Name | Diana L Peterson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 Burdick Expy E, Minot, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811068950 | NPI | - | NPPES |
18932 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 7527 (North Dakota) | Primary |
Entity Name | Trinity Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Mailing Address | Practice Location Address |
---|---|
Diana L Peterson, MD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Diana L Peterson, MD 400 Burdick Expy E, Minot, ND 58701-4768 Ph: (701) 857-5413 |
Frederick W Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-7380 Fax: 701-857-7342 | |
Michael J Holland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-7380 Fax: 701-857-7342 | |
Melissa M Messerly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Burdick Expy E, Minot, ND 58701 Phone: 701-857-5413 Fax: 701-857-5028 | |
Himadri Nath, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-418-8000 | |
Dr. Linda K Chase, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 3rd Ave Sw, Minot, ND 58701 Phone: 701-857-3133 Fax: 701-857-3135 | |
Thomas D Carver, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 | |
Deborah Reed-thurston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-2531 Fax: 701-857-3169 |