Stephen P Peterson, MD | |
146 E Geneva Sq, Lake Geneva, WI 53147-9694 | |
(262) 249-5000 | |
Not Available |
Full Name | Stephen P Peterson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 146 E Geneva Sq, Lake Geneva, Wisconsin |
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 |
---|---|---|---|
1629127915 | NPI | - | NPPES |
34399700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45762 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayada Nurses, Inc | Raleigh, NC | Home health agency |
Duke Health Raleigh Hospital | Raleigh, NC | Hospital |
Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duke Health Integrated Practice Inc | 8325412737 | 2636 |
Entity Name | Private Diagnostic Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Stephen P Peterson, MD 501 Pheasant Ridge Ln, Fontana, WI 53125-1491 Ph: (262) 275-5663 | Stephen P Peterson, MD 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-5000 |
Britton W Kolar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 | |
Dr. Austin Frank Bacchus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-4660 | |
Dr. Jaime Quezada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 Fax: 262-249-0633 | |
Gary Myron, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 Fax: 262-249-0633 | |
Amar Y. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 | |
Dr. Norbert G Debiase, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 | |
Jason S So, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-245-0221 Fax: 262-249-0633 |