Todd Bailey Peterson, MD is a
Colon & Rectal Surgery physician based in San Diego, California. Todd Bailey Peterson is licensed to practice in California (license number G83455) and his current practice location is 34800 Bob Wilson Dr, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 532-7577.
NPI number for Todd Bailey Peterson is 1386640548 and his current mailing address is 197 Carnation Ave, Imperial Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386640548.
Physician's Profile
Full Name | Todd Bailey Peterson |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 34800 Bob Wilson Dr, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386640548
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Todd Bailey Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386640548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | G83455 (California) | Primary |
208C00000X | Colon & Rectal Surgery | G83455 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Todd Bailey Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Todd Bailey Peterson, MD 197 Carnation Ave, Imperial Beach, CA 91932-1007 Ph: (619) 423-4972 | Todd Bailey Peterson, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-7577 |
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