James H Petersen, MD | |
200 Brevco Plz, Suite 208, Lake St Louis, MO 63367-2949 | |
(636) 561-9020 | |
Not Available |
Full Name | James H Petersen |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 200 Brevco Plz, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831169275 | NPI | - | NPPES |
1831169275 | Medicaid | MO | |
P01021819 | Other | MO | RAILROAD MEDICARE |
24528 | Other | MO | BC/BS MISSOURI |
202263828 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MOR7B69 (Missouri) | Primary |
Entity Name | Mercy Hospitals East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Mailing Address | Practice Location Address |
---|---|
James H Petersen, MD 200 Brevco Plz, Suite 208, Lake St Louis, MO 63367-2949 Ph: (636) 561-9020 | James H Petersen, MD 200 Brevco Plz, Suite 208, Lake St Louis, MO 63367-2949 Ph: (636) 561-9020 |
John David Wilkes, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plz, Suite 100, Lake St Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676 | |
Michael J Zerega, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 200 Brevco Plz, Suite 208, Lake St Louis, MO 63367 Phone: 636-561-9020 Fax: 636-561-6208 | |
Dr. Paul Barto Vatterott, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 107 Brevco Plz, Lake St Louis, MO 63367 Phone: 636-561-8100 Fax: 636-561-3396 | |
Umesh C. Inampudi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. Ammar Nasir, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Kristen Marie Strasser, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-639-8600 | |
James Von Beattie, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz, Suite 100, Lake St Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676 |