Jane K Peterson, MD | |
153 Cesar Chavez St, W. St. Paul, MN 55107-2226 | |
(651) 222-1816 | |
(651) 222-1305 |
Full Name | Jane K Peterson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 153 Cesar Chavez St, W. St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598872806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 48728 (Minnesota) | Primary |
Entity Name | West Side Community Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549 |
Mailing Address | Practice Location Address |
---|---|
Jane K Peterson, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 | Jane K Peterson, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 |
Dr. Mary Nesvig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Lynne Ogawa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
John Hick, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Jessica G Pereira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Kathleen Culhane-pera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 |