Dr Randal J Peterson, MD | |
1025 S 6th St, Springfield, IL 62703-2403 | |
(217) 528-7541 | |
Not Available |
Full Name | Dr Randal J Peterson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 38 Years |
Location | 1025 S 6th St, Springfield, Illinois |
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 |
---|---|---|---|
1184724866 | NPI | - | NPPES |
036080194 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036-080194 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1992752224 PECOS PAC ID: 0547166076 Enrollment ID: O20071226000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Randal J Peterson, MD 1200 Centre West Dr, Springfield, IL 62704-2173 Ph: (217) 528-7541 | Dr Randal J Peterson, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 |
Susan Strow Stegeman, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Stuart Farris, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2020 W Iles Ave, Springfield, IL 62704 Phone: 217-698-3030 Fax: 217-698-3068 | |
David B. Krah, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Ramanath Bhandari, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Ashley Abraham, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 400 N 9th St Fl 3, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-2303 | |
Patrick J. Butler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9263 |