Thomas L Peterson, MD | |
1700 W Stout St, Rice Lake, WI 54868-5000 | |
(715) 236-8100 | |
Not Available |
Full Name | Thomas L Peterson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1700 W Stout St, Rice Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609820620 | NPI | - | NPPES |
30653800 | Medicaid | WI |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Mailing Address | Practice Location Address |
---|---|
Thomas L Peterson, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Thomas L Peterson, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
Ronald Vesely, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
David J. Helland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-719-0662 | |
Dr. Ali Nazerali, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-4450 | |
Brandon Payne, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-4450 |