Dr Brian G Peterson, MD | |
10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 | |
(314) 525-4325 | |
(314) 525-4365 |
Full Name | Dr Brian G Peterson |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 24 Years |
Location | 10012 Kennerly Rd, Saint Louis, Missouri |
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 |
---|---|---|---|
1356359376 | NPI | - | NPPES |
1356329376 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 2006019887 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Chesterfield, MO | Hospital |
St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
Jersey Community Hospital | Jerseyville, IL | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiothoracic Surgery, Llc | 1254365281 | 5 |
Entity Name | Cardiothoracic Surgery, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104895812 PECOS PAC ID: 1254365281 Enrollment ID: O20050920000661 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian G Peterson, MD 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 Ph: (314) 525-4325 | Dr Brian G Peterson, MD 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 Ph: (314) 525-4325 |
Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
Leonardo J Diaz Gandica, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000 | |
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 | |
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674 |