Dr Brian R Peterson, MD | |
3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | |
(801) 566-8304 | |
(801) 566-8304 |
Full Name | Dr Brian R Peterson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 34 Years |
Location | 3584 W 9000 S, West Jordan, Utah |
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 |
---|---|---|---|
1316978687 | NPI | - | NPPES |
214881 | Other | IL | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036142390 (Illinois) | Secondary |
207YX0901X | Otolaryngology - Otology & Neurotology | 313974-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian R Peterson, MD 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 Ph: (801) 566-8304 | Dr Brian R Peterson, MD 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 Ph: (801) 566-8304 |
Dr. Peter Corless Anderson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S, Ste. 311, West Jordan, UT 84088 Phone: 801-566-8304 | |
Jonathan Leo Hatch, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S Ste 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Dr. Amir Allak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S Ste 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Dr. Ryan Max Gilbert, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S, Suite 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Garner B Meads Jr., MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3584 W 9000 S, Ste 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 |