Dr Justin William Peterson, DO | |
2424 S 90th St, West Allis, WI 53227-2455 | |
(414) 321-2255 | |
Not Available |
Full Name | Dr Justin William Peterson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 11 Years |
Location | 2424 S 90th St, West Allis, 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 |
---|---|---|---|
1033558010 | NPI | - | NPPES |
100091524 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 71467 (Wisconsin) | Primary |
207X00000X | Orthopaedic Surgery | 5101020737 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
West Allis Memorial Hospital | West allis, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Center - Grafton | Grafton, 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 | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | Aspen Orthopaedic And Rehabilitation Specialists S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366473597 PECOS PAC ID: 8325930480 Enrollment ID: O20040325000848 |
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 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin William Peterson, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 321-2255 | Dr Justin William Peterson, DO 2424 S 90th St, West Allis, WI 53227-2455 Ph: (414) 321-2255 |
Jeffrey E Larson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Patrick W Cummings, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Marc-antoine Tremblay, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Michael James Stoesz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Lee M Tyne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Lisa A Sienkiewicz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 |