Dr David B Petersen, MD | |
4400 So 700 E, 100, Salt Lake City, UT 84107 | |
(801) 264-4450 | |
(801) 264-4409 |
Full Name | Dr David B Petersen |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 26 Years |
Location | 4400 So 700 E, Salt Lake City, Utah |
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 |
---|---|---|---|
1851482202 | NPI | - | NPPES |
870544230002 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 52616771205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rocky Mtn Eye Care Associates Lc | 6305878539 | 6 |
Entity Name | Rocky Mtn Eye Care Associates Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538163936 PECOS PAC ID: 6305878539 Enrollment ID: O20050908000320 |
Mailing Address | Practice Location Address |
---|---|
Dr David B Petersen, MD 4400 South 700 E, 100, Salt Lake City, UT 84107 Ph: (801) 264-4450 | Dr David B Petersen, MD 4400 So 700 E, 100, Salt Lake City, UT 84107 Ph: (801) 264-4450 |
Douglas P Marx, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4400 S 700 E Ste 130, Salt Lake City, UT 84107 Phone: 801-264-4420 Fax: 801-266-0604 | |
Dr. Eileen Hwang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 S Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 | |
Paul S. Bernstein, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 | |
Dr. Francis John Wapner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, #310, Salt Lake City, UT 84124 Phone: 801-263-2020 Fax: 801-263-2229 | |
Dr. James G Howard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107 Phone: 801-312-2020 Fax: 801-312-2022 | |
Marielle Payne Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352 | |
Madison C. Perchik, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 65 N Mario Capecchi, Salt Lake City, UT 84132 Phone: 801-581-2121 |