Paul Carl Peterson, MD | |
501 20th St, Suite 503, Knoxville, TN 37916-1809 | |
(865) 541-4321 | |
(865) 541-4320 |
Full Name | Paul Carl Peterson |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 34 Years |
Location | 501 20th St, Knoxville, Tennessee |
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 |
---|---|---|---|
1891780862 | NPI | - | NPPES |
3099553 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD0000027743 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covenant Medical Group Inc | 2860305463 | 281 |
Entity Name | Covenant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Paul Carl Peterson, MD 501 20th St, Suite 503, Knoxville, TN 37916 Ph: (865) 541-4321 | Paul Carl Peterson, MD 501 20th St, Suite 503, Knoxville, TN 37916-1809 Ph: (865) 541-4321 |
Jacob Gallaher, PA-C Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920 Phone: 865-524-1869 | |
Mr. Joel Edward Norman, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1819 W Clinch Ave, Suite 214, Knoxville, TN 37916 Phone: 865-541-2835 Fax: 865-541-1003 | |
Stephanie Ann Coffman, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 9314 Park West Blvd Ste 200, Knoxville, TN 37923 Phone: 865-694-0577 | |
William A Tyler, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 525 Arrowhead Trl, Knoxville, TN 37919 Phone: 865-522-5496 | |
A. Bernhard Kliefoth Iii, MD, FACS, FAHA Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6901 Office Park Cir, Knoxville, TN 37909 Phone: 865-524-9400 | |
Mr. William Stuart Reid Jr., MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1819 W Clinch Ave, Suite 214, Knoxville, TN 37916 Phone: 865-541-2835 Fax: 865-541-1003 | |
Dr. Carter Smith Gerard, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920 Phone: 865-524-1869 Fax: 865-544-6533 |