Dr Andrew Clair Peterson, MD | |
1050 Sw 3rd Ave, #3200, Ontario, OR 97914-2193 | |
(541) 881-7373 | |
(541) 881-7186 |
Full Name | Dr Andrew Clair Peterson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1050 Sw 3rd Ave, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093779365 | NPI | - | NPPES |
003390300 | Medicaid | ID | |
153049 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MDO9438 (Oregon) | Primary |
207R00000X | Internal Medicine | M6155 (Idaho) | Secondary |
Entity Name | Apogee Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558302174 PECOS PAC ID: 8820980188 Enrollment ID: O20040330000185 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20100713000593 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Clair Peterson, MD 1050 Sw 3rd Ave, #3200, Ontario, OR 97914-2193 Ph: (541) 881-7373 | Dr Andrew Clair Peterson, MD 1050 Sw 3rd Ave, #3200, Ontario, OR 97914-2193 Ph: (541) 881-7373 |
Jared Ross Van Orman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2340 | |
Dr. John H Phillips, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 485 Stanton Blvd, Ontario, OR 97914 Phone: 208-739-0087 Fax: 541-889-4232 |