Dr Horace Rex Petersen, DO is a
Orthopaedic Surgery physician based in Neosho, Missouri. Dr Horace Rex Petersen is licensed to practice in Missouri (license number R9N57) and his current practice location is 4040 La Questa Dr, Neosho, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 451-1833.
NPI number for Dr Horace Rex Petersen is 1568460590 and his current mailing address is 4040 La Questa Dr, Neosho, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568460590.
Physician's Profile
| Full Name | Dr Horace Rex Petersen |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 4040 La Questa Dr, Neosho, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568460590
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Horace Rex Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568460590 | NPI | - | NPPES |
| 13190 | Other | MO | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | R9N57 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Horace Rex Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Horace Rex Petersen, DO
4040 La Questa Dr,
Neosho, MO 64850-2849
Ph: (417) 451-1833 | Dr Horace Rex Petersen, DO
4040 La Questa Dr,
Neosho, MO 64850-2849
Ph: (417) 451-1833 |
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