Dr Brian J Peterson, DO | |
405 Stageline Rd, Hudson, WI 54016-7848 | |
(715) 531-6000 | |
Not Available |
Full Name | Dr Brian J Peterson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 405 Stageline Rd, Hudson, Wisconsin |
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 |
---|---|---|---|
1174762397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 52859 (Minnesota) | Secondary |
207P00000X | Emergency Medicine | 54360-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hudson Hospital | Hudson, WI | Hospital |
Regions Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Memorial Hospital Association, Inc. | 1951210855 | 18 |
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Lakeview Memorial Hospital Association, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Regions Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
Entity Name | Stillwater Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558350488 PECOS PAC ID: 9436104510 Enrollment ID: O20050322000615 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian J Peterson, DO 7435 West Talcott Avenue, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3746 Ph: (773) 792-7921 | Dr Brian J Peterson, DO 405 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6000 |
Heather Kaluzniak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Nicholas Hoffmann, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Tammie J Haveman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Kari Haley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Haley Ruth Taormina, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 | |
Eric Dahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000 |