Neal Christopher Petersen, CRNA | |
34800 Bob Wilson Dr, San Diego, CA 92134-1098 | |
(619) 532-6400 | |
Not Available |
Full Name | Neal Christopher Petersen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 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 |
---|---|---|---|
1023682127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN208944 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN208944 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Medical Doctors | 2961305651 | 109 |
Temecula Ca Endoscopy Asc Lp | 4981645678 | 14 |
Golden State Providers, A Medical Corporation | 7012212475 | 58 |
Entity Name | United Medical Doctors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
Entity Name | Temecula Ca Endoscopy Asc Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041 |
Entity Name | Temecula Ca United Surgery Center Lp |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140 |
Entity Name | Golden State Providers, A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539 |
Entity Name | Innovative Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154815264 PECOS PAC ID: 3678823176 Enrollment ID: O20180904002744 |
Mailing Address | Practice Location Address |
---|---|
Neal Christopher Petersen, CRNA Navy Medical Readiness & Training Command, 1145 Sturgis Road, Twentynine Palms, CA 92278-8275 Ph: (760) 830-2117 | Neal Christopher Petersen, CRNA 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-6400 |
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 |