Melissa E Peterson, | |
1809 Cooks Hill Rd, Centralia, WA 98531-9072 | |
(360) 330-8626 | |
Not Available |
Full Name | Melissa E Peterson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 1809 Cooks Hill Rd, Centralia, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538228051 | NPI | - | NPPES |
4837PE | Other | WA | REGENCE |
PT00003655 | Other | WA | LICENSE NUMBER |
8342693 | Medicaid | WA | |
201107 | Other | WA | L & I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00003655 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Provider Name | Optum Care Washington Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Melissa E Peterson, Po Box 84646, Seattle, WA 98124-5946 Ph: () - | Melissa E Peterson, 1809 Cooks Hill Rd, Centralia, WA 98531-9072 Ph: (360) 330-8626 |
Mr. Jason Allen Buono, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1118 View Ave, Centralia, WA 98531 Phone: 360-736-5273 Fax: 360-736-5053 | |
Pt Northwest Of Longview, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1714 S Gold St, Centralia, WA 98531 Phone: 360-360-5532 Fax: 564-999-5722 | |
Nancy Carol Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1809 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8844 Fax: 360-330-8623 | |
Ms. Nancy Marie Emerick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8627 Fax: 360-330-8786 | |
Keith Erik Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737 | |
Robert Prandi, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Colonial Dr Apt 305, Centralia, WA 98531 Phone: 360-330-9346 Fax: 360-330-9347 | |
Kenneth J Coombs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Alexander St, Centralia, WA 98531 Phone: 136-073-6408 Fax: 136-080-7214 |