Mr Tyler Alan Peterson, DO | |
888 S Rancho Dr, Las Vegas, NV 89106-3810 | |
(702) 877-5199 | |
Not Available |
Full Name | Mr Tyler Alan Peterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 888 S Rancho Dr, Las Vegas, Nevada |
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 |
---|---|---|---|
1467800243 | NPI | - | NPPES |
V58740 | Other | NV | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | SL1157 (Nevada) | Secondary |
207Q00000X | Family Medicine | DO2471 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barton Memorial Hospital | South lake tahoe, CA | Hospital |
Mount Grant General Hospital | Hawthorne, NV | Hospital |
Pershing General Hospital | Lovelock, NV | Hospital |
Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
Entity Name | Tahoe Carson Valley Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
Entity Name | Barton Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Entity Name | Tylerpetersondo Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437938297 PECOS PAC ID: 4284081530 Enrollment ID: O20231108003443 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler Alan Peterson, DO Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Mr Tyler Alan Peterson, DO 888 S Rancho Dr, Las Vegas, NV 89106-3810 Ph: (702) 877-5199 |
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