Scott William Peterson, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 265-0290 | |
(352) 265-0279 |
Full Name | Scott William Peterson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
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 |
---|---|---|---|
1174528780 | NPI | - | NPPES |
273967400 | Medicaid | FL | |
1698954 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 21748 (Louisiana) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | ME80915 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Naples Community Hospital | Naples, FL | Hospital |
Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proscan Nch Imaging Llc | 6103233051 | 75 |
Nchmd Inc | 9436139565 | 370 |
Entity Name | Nchmd Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
Entity Name | Proscan Nch Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003406711 PECOS PAC ID: 6103233051 Enrollment ID: O20210322001326 |
Mailing Address | Practice Location Address |
---|---|
Scott William Peterson, MD Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 265-0290 | Scott William Peterson, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-0290 |
Dr. Will F Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605 Phone: 352-331-9729 Fax: 352-331-0136 | |
Patricia Perdigon Moser, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 Fax: 352-265-0279 | |
Mariam Wassef Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 Fax: 352-265-0279 | |
Dr. Sean Joseph Brennan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Erica May, RT(R)(CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 Se 16th Ave Apt 6d, Gainesville, FL 32601 Phone: 219-218-1829 | |
Dr. Alexandre Dias Mancano, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0104 | |
Walter E Drane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 |