Russell D Peterson, DO | |
965 Us Hwy 431, Roanoke, AL 36274 | |
(334) 863-2141 | |
(334) 863-8733 |
Full Name | Russell D Peterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 965 Us Hwy 431, Roanoke, Alabama |
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 |
---|---|---|---|
1144322504 | NPI | - | NPPES |
51091244 | Other | AL | BCBS OF ALABAMA |
000091244 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO436 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Compassus-gadsden | Southside, AL | Hospice |
Chattahoochee Hospice Inc | Valley, AL | Hospice |
Tanner Medical Center-east Alabama | Wedowee, AL | Hospital |
Roanoke Rehabilitation & Healthcare Center | Roanoke, AL | Nursing home |
Traylor Retirement Community | Roanoke, AL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Primary Care Of Roanoke Inc | 1153663091 | 5 |
Entity Name | Tanner Primary Care Of Roanoke Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255899092 PECOS PAC ID: 1153663091 Enrollment ID: O20190425001408 |
Mailing Address | Practice Location Address |
---|---|
Russell D Peterson, DO Po Box 625, Roanoke, AL 36274-0625 Ph: (334) 863-2141 | Russell D Peterson, DO 965 Us Hwy 431, Roanoke, AL 36274 Ph: (334) 863-2141 |
Michael Robinson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 Main St., Roanoke, AL 36274 Phone: 334-863-2311 Fax: 334-863-5596 | |
Dr. Mitchell Carey Shirah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 59664 Highway 22, Roanoke, AL 36274 Phone: 334-863-8952 Fax: 334-863-2361 |