John Dale Peterson, DO | |
929 N Saint Francis St, Wichita, KS 67214-3821 | |
(800) 374-5326 | |
(800) 374-7656 |
Full Name | John Dale Peterson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 929 N Saint Francis St, Wichita, Kansas |
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 |
---|---|---|---|
1023239753 | NPI | - | NPPES |
200611100A | Medicaid | KS | |
P00727380 | Other | KS | RR MEDICARE GROUP CQ2302 |
200611100B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0531672 (Kansas) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 0531672 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kansas Surgery & Recovery Center | Wichita, KS | Hospital |
Via Christi Hospital-wichita | Wichita, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Via Christi Hospitals Wichita Inc | 5799696944 | 73 |
Anesthesia Consulting Services, Pa | 7214849710 | 70 |
Entity Name | Anesthesia Consulting Services, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070416 PECOS PAC ID: 7214849710 Enrollment ID: O20031113000271 |
Entity Name | Ascension Via Christi Hospitals Wichita Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871589333 PECOS PAC ID: 5799696944 Enrollment ID: O20031118000404 |
Mailing Address | Practice Location Address |
---|---|
John Dale Peterson, DO Po Box 356, Wichita, KS 67201-0356 Ph: (844) 468-9498 | John Dale Peterson, DO 929 N Saint Francis St, Wichita, KS 67214-3821 Ph: (800) 374-5326 |
James Phillips, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St Ste 3023, Wichita, KS 67214 Phone: 316-293-2665 | |
Valerie Audra Grau, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-268-5000 | |
Scott D Mclaren, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
Dylan Michael Brittain, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Jonathan Michael Snell, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Michael A Mueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8080 E Central Ave, Ste 250, Wichita, KS 67206 Phone: 316-686-7327 Fax: 316-686-1557 |