Dr John M Peterson, PHD, MD | |
600 John Deere Road, Suite 200, Moline, IL 61265-6897 | |
(309) 779-4200 | |
(309) 779-4305 |
Full Name | Dr John M Peterson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 600 John Deere Road, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760452189 | NPI | - | NPPES |
110028700 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036051289 (Illinois) | Primary |
Entity Name | Medical Arts Associates, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396724183 PECOS PAC ID: 4385549377 Enrollment ID: O20031203000420 |
Mailing Address | Practice Location Address |
---|---|
Dr John M Peterson, PHD, MD 600 John Deere Road, Suite 200, Moline, IL 61265-6897 Ph: (309) 779-4200 | Dr John M Peterson, PHD, MD 600 John Deere Road, Suite 200, Moline, IL 61265-6897 Ph: (309) 779-4200 |
Dr. Sanjeev Puri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Bouyella H Reddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-743-6709 | |
Dr. Rao V Movva, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 545 Valley View Dr, Moline, IL 61265 Phone: 309-762-5560 Fax: 309-762-7351 | |
Brian T Cady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 203, Moline, IL 61265 Phone: 309-281-2950 Fax: 309-281-2959 | |
Dr. Balakrishna Mundodi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 John Deere Rd, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Faraz Manazir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 36th Avenue, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042 | |
Dr. Eileen Castro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 19th Ave, Suite 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055 |