Dr Mark Irwin Petersen, MD | |
21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | |
(913) 742-4084 | |
(913) 742-4086 |
Full Name | Dr Mark Irwin Petersen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 21107 Donahoo Rd, Tonganoxie, Kansas |
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 |
---|---|---|---|
1881647543 | NPI | - | NPPES |
2050317102 | Other | RAILROAD MEDICARE | |
100135660B | Medicaid | KS | |
13217089 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 04-21601 (Kansas) | Secondary |
207R00000X | Internal Medicine | 0421601 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Lenexa, KS | Home health agency |
Caregivers Home Health | Topeka, KS | Home health agency |
Ahc Home Health Of Kansas City, Llc | Overland park, KS | Home health agency |
Brookdale Home Health Overland Park | Overland park, KS | Home health agency |
Interim Healthcare Of Kansas City | Overland park, KS | Home health agency |
Care Alternatives Of Kansas | Overland park, KS | Hospice |
Good Shepherd Hospice Of Mid America Inc | Lenexa, KS | Hospice |
Crossroads Hospice Of Kansas Llc | Lenexa, KS | Hospice |
Brookdale Hospice Overland Park | Overland park, KS | Hospice |
Newman Regional Health | Emporia, KS | Hospital |
Adventhealth Ottawa | Ottawa, KS | Hospital |
Meadowbrook Rehabilitation Hospital | Gardner, KS | Nursing home |
Louisburg Healthcare & Rehab Center | Louisburg, KS | Nursing home |
Edwardsville Care And Rehab | Edwardsville, KS | Nursing home |
Richmond Healthcare & Rehab Center | Richmond, KS | Nursing home |
Kaw River Care And Rehab | Edwardsville, KS | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 889 |
Mid America Senior Management Llc | 6406827435 | 4 |
Entity Name | Mid America Senior Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942356977 PECOS PAC ID: 6406827435 Enrollment ID: O20050707000856 |
Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Irwin Petersen, MD Po Box 996, Tonganoxie, KS 66086-0996 Ph: (913) 742-4084 | Dr Mark Irwin Petersen, MD 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 |