Gregory Petersen, PHD | |
2017 Jefferson St Sw, Roanoke, VA 24014-2419 | |
(540) 981-7097 | |
Not Available |
Full Name | Gregory Petersen |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 25 Years |
Location | 2017 Jefferson St Sw, Roanoke, Virginia |
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 |
---|---|---|---|
1275509804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810-002774 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Gregory Petersen, PHD 411 Washington Ave Sw, Roanoke, VA 24016-4217 Ph: () - | Gregory Petersen, PHD 2017 Jefferson St Sw, Roanoke, VA 24014-2419 Ph: (540) 981-7097 |
Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900 | |
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175 | |
Mrs. Jillian Shillaber, LCP, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4346 Starkey Rd, Suite 1, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242 | |
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469 | |
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900 | |
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502 | |
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386 |