Dr Chad Allan Peterson, MD | |
980 W Ironwood Dr, Ste. 104, Coeur D Alene, ID 83814-2668 | |
(208) 667-0621 | |
(208) 664-1709 |
Full Name | Dr Chad Allan Peterson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 21 Years |
Location | 980 W Ironwood Dr, Coeur D Alene, Idaho |
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 |
---|---|---|---|
1629284732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | M-10619 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Bonner General Hospital | Sandpoint, ID | Hospital |
Boundary Community Hospital | Bonners ferry, ID | Hospital |
Benewah Community Hospital | St maries, ID | Hospital |
Shoshone Medical Center | Kellogg, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Idaho Urology Pllc | 1456452291 | 9 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | North Idaho Urology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891834768 PECOS PAC ID: 1456452291 Enrollment ID: O20070724000658 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Allan Peterson, MD 980 W Ironwood Dr, Ste. 104, Coeur D Alene, ID 83814-2668 Ph: (208) 667-0621 | Dr Chad Allan Peterson, MD 980 W Ironwood Dr, Ste. 104, Coeur D Alene, ID 83814-2668 Ph: (208) 667-0621 |
Roxanne Haslam, MD Urology Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
Matthew David Mclaughlin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr, Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 | |
Dr. Ian William Udell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3815 N Schreiber Way Unit 101, Coeur D Alene, ID 83815 Phone: 208-755-2804 Fax: 208-765-0277 | |
David Flores, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814 Phone: 208-667-0621 Fax: 208-664-1709 |