Mark Delano Peterson, MD | |
1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | |
(541) 779-5007 | |
(541) 779-5022 |
Full Name | Mark Delano Peterson |
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Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 1311 E Barnett Rd, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699763607 | NPI | - | NPPES |
128129 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | MD18861 (Oregon) | Primary |
Entity Name | Southern Oregon Spine Care P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912349580 PECOS PAC ID: 0446486336 Enrollment ID: O20131125000784 |
Mailing Address | Practice Location Address |
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Mark Delano Peterson, MD 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 Ph: (541) 779-5007 | Mark Delano Peterson, MD 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 Ph: (541) 779-5007 |
Dr. Alan J. Webb, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 965 Ellendale Dr, Medford, OR 97504 Phone: 541-734-3430 Fax: 541-734-3638 | |
Ryan Thomas Colley, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 Murphy Rd, Medford, OR 97504 Phone: 541-622-8900 | |
Heidi Taylor Bloom, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 E Barnett Rd Ste 200, Medford, OR 97504 Phone: 541-779-6250 Fax: 541-608-2535 | |
Dr. Adam E Cabalo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 E Barnett Rd Ste 200, Medford, OR 97504 Phone: 541-779-6250 Fax: 541-608-2535 | |
Paul Lockwood Sternenberg Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 E Barnett Rd Ste 200, Medford, OR 97504 Phone: 541-779-6250 Fax: 541-608-2535 | |
Steven Edward Chamberlain, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2780 E Barnett Rd, Suite 200, Medford, OR 97504 Phone: 541-779-6250 Fax: 541-608-2535 | |
Darrell Theodore Weinman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2780 E Barnett Rd, Suite 200, Medford, OR 97504 Phone: 541-779-6250 Fax: 541-608-2535 |