Dr Michael J Petersen, MD | |
3922 Mercy Dr, Mchenry, IL 60050-3151 | |
(815) 344-4499 | |
Not Available |
Full Name | Dr Michael J Petersen |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 3922 Mercy Dr, Mchenry, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518974153 | NPI | - | NPPES |
016002938 1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Illinois) | Primary |
Provider Name | Mercy Health System Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Petersen, MD 3922 Mercy Dr, Mchenry, IL 60050-3151 Ph: (815) 344-4499 | Dr Michael J Petersen, MD 3922 Mercy Dr, Mchenry, IL 60050-3151 Ph: (815) 344-4499 |
Iqbal H Khan Ii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4310 W Crystal Lake Rd, Suite F, Mchenry, IL 60050 Phone: 815-363-3223 Fax: 815-363-3240 | |
Podiatric Management Systems Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4310f W Crystal Lake Rd # F, Mchenry, IL 60050 Phone: 815-363-3223 Fax: 815-363-3240 | |
Dr. Florence L. Peters, Dpm, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4921 W Elm St, Mchenry, IL 60050 Phone: 630-329-9758 | |
Jakob Christopher Thorud, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-578-2020 Fax: 815-344-3241 | |
Tri-county Foot & Ankle Centers Ltd Podiatrist Medicare: Medicare Enrolled Practice Location: 4310 W Crystal Lake Rd Ste F, Mchenry, IL 60050 Phone: 815-363-3223 Fax: 815-353-3240 | |
Dr. Alan H Numbers, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5435 Bull Valley Rd., Suite 102, Mchenry, IL 60050 Phone: 815-385-5800 Fax: 815-385-5802 |