Adam B Petersen, AA | |
3801 S. National, Springfield, MO 65807 | |
(417) 269-6000 | |
Not Available |
Full Name | Adam B Petersen |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 12 Years |
Location | 3801 S. National, Springfield, Missouri |
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 |
---|---|---|---|
1518216613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2012015563 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Entity Name | Ozark Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
Mailing Address | Practice Location Address |
---|---|
Adam B Petersen, AA 1000 E. Primrose Suite 520, Springfield, MO 65807 Ph: () - | Adam B Petersen, AA 3801 S. National, Springfield, MO 65807 Ph: (417) 269-6000 |
Charis Denovi, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Asher Herbet, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Kayla Conner Gibson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Taylor G Harris, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St, Springfield, MO 65807 Phone: 417-269-4550 | |
Corrine Calzone, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Brittany Anderson, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Jonathan D Brady, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |