Dr Celeste V Peterson, DO | |
222 Oak St, Mountain City, TN 37683-1526 | |
(423) 727-6319 | |
(423) 727-4164 |
Full Name | Dr Celeste V Peterson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 222 Oak St, Mountain City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942205349 | NPI | - | NPPES |
3300550 | Medicaid | TN | |
4085169 | Other | TN | BCBST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 827 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
Mailing Address | Practice Location Address |
---|---|
Dr Celeste V Peterson, DO Po Box 850, Rogersville, TN 37857-0850 Ph: (423) 727-6319 | Dr Celeste V Peterson, DO 222 Oak St, Mountain City, TN 37683-1526 Ph: (423) 727-6319 |
James W Shine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Cristy Gillespie Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-926-6266 Fax: 423-926-7599 | |
Dr. Floyd James Barker Ii, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Mountain City, TN 37683 Phone: 423-727-4561 Fax: 423-727-4556 | |
Henry Renick Hartsoe, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1100 | |
Susanne Mayer Shine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Donna F Gibson-hughes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 Sprucey Ln, Mountain City, TN 37683 Phone: 423-727-1621 Fax: 423-727-1621 | |
Heather Newman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Oak St, Mountain City, TN 37683 Phone: 423-727-6319 Fax: 423-727-4164 |