Dr Daniel A Peterson, MD | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081 | |
(920) 457-4461 | |
(920) 459-1412 |
Full Name | Dr Daniel A Peterson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
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 |
---|---|---|---|
1902913304 | NPI | - | NPPES |
32434300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 39816 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel A Peterson, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Daniel A Peterson, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Ph: (920) 457-4461 |
Dr. David J Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1462 | |
William G Wagner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-459-8300 | |
Stanley Gutiontov, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1222 N 23rd St, Sheboygan, WI 53081 Phone: 920-457-6800 | |
Dr. Richard L Campbell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 | |
Dr. John R Slaby, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 Fax: 920-451-5333 | |
Dr. Randal J Zabrowski, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4541 N Evergreen Dr, Sheboygan, WI 53081 Phone: 920-457-0911 | |
Syed A Rahman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 |