Dr Bruce Norman Petersen, DO is a
Internal Medicine physician based in Oak Hill, West Virginia. Dr Bruce Norman Petersen is licensed to practice in West Virginia (license number 0941) and his current practice location is 119 Main St W, Suite A, Oak Hill, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 465-0544.
NPI number for Dr Bruce Norman Petersen is 1710949474 and his current mailing address is 119 Main St W, Suite A, Oak Hill, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710949474.
Physician's Profile
| Full Name | Dr Bruce Norman Petersen |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 119 Main St W, Oak Hill, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710949474
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 12/22/2010
Medical Identifiers
Medical identifiers for Dr Bruce Norman Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710949474 | NPI | - | NPPES |
| 0084786001 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0941 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce Norman Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce Norman Petersen, DO
119 Main St W, Suite A,
Oak Hill, WV 25901-2943
Ph: (304) 465-0544 | Dr Bruce Norman Petersen, DO
119 Main St W, Suite A,
Oak Hill, WV 25901-2943
Ph: (304) 465-0544 |
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