Dr Phillip Robert Peterson, MD | |
One Hospital Drive, Lewisburg, PA 17837-9350 | |
(570) 522-2640 | |
(570) 768-3921 |
Full Name | Dr Phillip Robert Peterson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | One Hospital Drive, Lewisburg, 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 |
---|---|---|---|
1003137613 | NPI | - | NPPES |
1028234030003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD447379 (Pennsylvania) | Primary |
208M00000X | Hospitalist | MD447379 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Evangelical Community Hospital | Lewisburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evangelical Medical Services Organization | 9133033087 | 244 |
Entity Name | Evangelical Medical Services Organization |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Robert Peterson, MD One Hospital Drive, Suite 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Dr Phillip Robert Peterson, MD One Hospital Drive, Lewisburg, PA 17837-9350 Ph: (570) 522-2640 |
Randi J. Mcleod, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Traci Louise Farley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-768-3911 | |
Michael Anthony Donegan, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-768-3911 | |
Debra Irene Stoner, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-522-4120 | |
Eliza S Reed, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Harlen Wilford Gessner, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 |