Mr Jeffery Allen Peterson, CRNA | |
34800 Bob Wilson Dr, San Diego, CA 92134-1098 | |
(619) 248-9666 | |
Not Available |
Full Name | Mr Jeffery Allen Peterson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 34800 Bob Wilson Dr, San Diego, California |
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 |
---|---|---|---|
1992041719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 799556 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houston Medical Center | Warner robins, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Robins Anesthesia Services Llc | 1052207792 | 21 |
Entity Name | Robins Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154392660 PECOS PAC ID: 1052207792 Enrollment ID: O20040227000514 |
Entity Name | Synergy Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
Entity Name | Georgia Group Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
Entity Name | Nmda Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
Entity Name | Sweet Dreams Nurse Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891005989 PECOS PAC ID: 1658568621 Enrollment ID: O20120525000211 |
Entity Name | Sweet Dreams Nurse Anesthesia Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003168923 PECOS PAC ID: 7719138353 Enrollment ID: O20121108000271 |
Entity Name | Grand Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689230724 PECOS PAC ID: 0345579876 Enrollment ID: O20190910000358 |
Entity Name | Prominence Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376180083 PECOS PAC ID: 5890121719 Enrollment ID: O20200219000722 |
Entity Name | Radiance Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
Entity Name | Vision Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20210428000240 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffery Allen Peterson, CRNA 4428 Topa Topa Dr, La Mesa, CA 91941-7160 Ph: (619) 248-9666 | Mr Jeffery Allen Peterson, CRNA 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 248-9666 |
Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183 | |
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943 | |
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960 | |
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |