| Matthew D Peterson, PA-C | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 948-5600 | |
| Not Available |
| Full Name | Matthew D Peterson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1750803474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4071-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew D Peterson, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 948-5600 | Matthew D Peterson, PA-C 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
David B Kite, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000 | |
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841 | |
Miss Sarah Rens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591 | |
Ms. Amber D Devine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Jeffrey Allen Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6770 | |
Michelle R Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 505, Kenosha, WI 53143 Phone: 262-656-3525 Fax: 262-656-3560 | |
Nadya M Modlin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10400 75th St, Emergency Department, Kenosha, WI 53142 Phone: 262-948-7000 |