Ian Peters, MPH, DO | |
179 S Parkside Dr, Colorado Springs, CO 80910-3130 | |
(719) 572-6100 | |
Not Available |
Full Name | Ian Peters |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 179 S Parkside Dr, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821385865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0061752 (Colorado) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | OT015344 (Pennsylvania) | Secondary |
Entity Name | Diversus Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
Entity Name | Uhs Of Denver Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326133216 PECOS PAC ID: 0941200240 Enrollment ID: O20071231000314 |
Entity Name | Denver Springs Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144742016 PECOS PAC ID: 5991061228 Enrollment ID: O20171102000799 |
Mailing Address | Practice Location Address |
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Ian Peters, MPH, DO 100 E Lehigh Ave, Suite 105, Philadelphia, PA 19125-1012 Ph: (215) 707-8483 | Ian Peters, MPH, DO 179 S Parkside Dr, Colorado Springs, CO 80910-3130 Ph: (719) 572-6100 |
Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506 | |
William B. Scholten, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 875 W. Moreno Ave., Colorado Springs, CO 80905 Phone: 719-572-6424 | |
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017 | |
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870 | |
Dr. Michelle Louise Raphael, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 | |
William Tyler Stone, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860 | |
Dr. Abdurahman Said Elkhetali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 700, Colorado Springs, CO 80909 Phone: 719-365-7300 Fax: 719-365-7301 |