Paul D Peterson, DO | |
2600 Outer Dr N, Sioux City, IA 51104-1585 | |
(712) 239-3300 | |
(712) 239-8201 |
Full Name | Paul D Peterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 2600 Outer Dr N, Sioux City, Iowa |
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 |
---|---|---|---|
1326013426 | NPI | - | NPPES |
75305796314 | Medicaid | NE | |
4186098 | Medicaid | IA | |
7786682 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03181 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unitypoint At Home | Sioux city, IA | Home health agency |
Hospice Of Siouxland | Sioux city, IA | Hospice |
St Lukes Regional Medical Center | Sioux city, IA | Hospital |
Bryan Medical Center | Lincoln, NE | Hospital |
Mercyone Siouxland | Sioux city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Health Care Of Siouxland Plc | 7315839412 | 49 |
Entity Name | Family Health Care Of Siouxland Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437170685 PECOS PAC ID: 7315839412 Enrollment ID: O20040325000519 |
Mailing Address | Practice Location Address |
---|---|
Paul D Peterson, DO 814 Pierce St, Suite 102, Sioux City, IA 51101-1058 Ph: (712) 226-2600 | Paul D Peterson, DO 2600 Outer Dr N, Sioux City, IA 51104-1585 Ph: (712) 239-3300 |
Richard J. Kipp, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3520 Singing Hills Blvd, Sioux City, IA 51106 Phone: 712-294-7400 Fax: 712-294-7436 | |
Dylan C Greene, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 Nebraska St, Sioux City, IA 51105 Phone: 712-252-2477 Fax: 712-252-5920 | |
Kornelia Kellogg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5092 | |
Michael John Jung, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5091 | |
Daniel Irwin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5091 | |
Amjad Abdelhady, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5018 Fax: 712-294-5092 | |
Rodney L. Cassens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Singing Hills Blvd, Ste 100, Sioux City, IA 51106 Phone: 712-274-4250 Fax: 712-274-4260 |