Dr Benjamin Evans Peterson, MD | |
711 Medical Village Dr, Edgewood, KY 41017-3439 | |
(859) 287-3045 | |
(859) 578-3800 |
Full Name | Dr Benjamin Evans Peterson |
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Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 711 Medical Village Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922341015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 56858 (Kentucky) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 56858 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
Mailing Address | Practice Location Address |
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Dr Benjamin Evans Peterson, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Dr Benjamin Evans Peterson, MD 711 Medical Village Dr, Edgewood, KY 41017-3439 Ph: (859) 287-3045 |
Alice Hall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Colleen M Darnell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-4000 Fax: 859-301-4001 | |
Charles M Bernstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2066 | |
Vidya Rajaram Devarajan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-4446 Fax: 859-344-1999 | |
Dr. Minsig Choi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-4000 Fax: 859-301-4001 | |
Robert J Wagner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Ryan Daniel Weprin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 |