Dr Michael Theodore Peterson, DO | |
132 Manly Rd, Tafton, PA 18464-7829 | |
(570) 226-2151 | |
(570) 226-1861 |
Full Name | Dr Michael Theodore Peterson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 132 Manly Rd, Tafton, Pennsylvania |
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 |
---|---|---|---|
1194768606 | NPI | - | NPPES |
PE744170 | Other | PA | HIGHMARK BLUE SHIELD |
003000 | Other | PA | FIRST PRIORITY HEALTH |
02042395 | Other | NY | NY MEDICAL ASSISTANCE |
0014151170001 | Medicaid | PA | |
8873 | Other | PA | GEISINGER HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS-007805L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Services Of Ne Pa, Inc. | Blakely, PA | Home health agency |
Traditional Home Health Care | Dunmore, PA | Home health agency |
Wayne Memorial Hospital | Honesdale, PA | Hospital |
Geisinger-community Medical Center | Scranton, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wayne Memorial Community Health Centers | 3072598937 | 18 |
Entity Name | Wayne Memorial Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Theodore Peterson, DO 601 Park St, Honesdale, PA 18431-1445 Ph: (570) 226-2151 | Dr Michael Theodore Peterson, DO 132 Manly Rd, Tafton, PA 18464-7829 Ph: (570) 226-2151 |
Dr. Charles David Aronica, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Manly Rd, Tafton, PA 18464 Phone: 570-226-2151 Fax: 570-226-1861 | |
Kevin Le, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 Manly Rd, Tafton, PA 18464 Phone: 570-226-2151 Fax: 570-226-1861 |