Dr Charles John Peterson, MD | |
5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | |
(520) 324-1922 | |
(520) 324-1088 |
Full Name | Dr Charles John Peterson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 34 Years |
Location | 5301 E Grant Road, Tucson, Arizona |
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 |
---|---|---|---|
1437234499 | NPI | - | NPPES |
150384 | Other | AZ | AHCCCS |
15038402 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 21030 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucson Medical Center | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ies Arizona Pllc | 7810382884 | 33 |
Entity Name | Ies Arizona Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059 |
Entity Name | Ies Obs Arizona Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356006670 PECOS PAC ID: 7719364991 Enrollment ID: O20220509000853 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles John Peterson, MD 5700 E Pima Street, Suite B, Tucson, AZ 85712-5601 Ph: (520) 382-2819 | Dr Charles John Peterson, MD 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 Ph: (520) 324-1922 |
Martin Demant, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-6507 Fax: 520-626-5675 | |
John Guisto, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-3500 | |
Dr. Christopher Scott Florence, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712 Phone: 520-324-1922 Fax: 520-324-1088 | |
Dr. Jose Carbajal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-873-5429 | |
Dr. Ajit Itty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1609 N Warren Ave Rm 118, Tucson, AZ 85724 Phone: 520-626-6312 | |
Philipp Lorenz Hannan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 S Country Club Rd, Tucson, AZ 85714 Phone: 520-626-5582 | |
Dr. Alina Nguyen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-8888 |