Dr Leslie Michael Peterson, DO | |
501 Morris St Fl 5, Charleston, WV 25301-1326 | |
(304) 388-7170 | |
(304) 388-1858 |
Full Name | Dr Leslie Michael Peterson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 501 Morris St Fl 5, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730341264 | NPI | - | NPPES |
1730341264 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2410 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | Boone Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslie Michael Peterson, DO 501 Morris St Fl 5, Charleston, WV 25301-1326 Ph: (304) 388-7170 | Dr Leslie Michael Peterson, DO 501 Morris St Fl 5, Charleston, WV 25301-1326 Ph: (304) 388-7170 |
Barry Michael Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 Brooks St, Charleston, WV 25301 Phone: 304-395-0401 | |
Adam Thomas Crawford, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-7170 Fax: 304-388-4621 | |
Dr. Hunter Nielsen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 Fax: 304-388-3360 | |
Lauren B Wright, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155 | |
Bradley Nine, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Calvin Huan Yang, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155 | |
Roger Taylor, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-647-6006 |