| Dr Elisabeth M Peterson, DDS | |
|
2500 Como Avenue, St. Paul, MN 55108-1460 | |
| (651) 999-4600 | |
| (651) 632-8984 |
| Full Name | Dr Elisabeth M Peterson |
|---|---|
| Gender | Female |
| Speciality | Oral Surgery |
| Experience | 20 Years |
| Location | 2500 Como Avenue, St. Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1508094244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D12105 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elisabeth M Peterson, DDS 2500 Como Avenue, St. Paul, MN 55108-1460 Ph: (651) 999-4600 | Dr Elisabeth M Peterson, DDS 2500 Como Avenue, St. Paul, MN 55108-1460 Ph: (651) 999-4600 |
Dr. Michael Allen Kurkowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3500 N. Rice Street, St. Paul, MN 55126 Phone: 651-484-5331 | |
Benjamin Christopherson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 828 Hawthorne Ave. E, St. Paul, MN 55106 Phone: 651-774-2959 Fax: 651-774-1997 | |
Dr. Asmeret Tesfahun, DDS Dentist Medicare: Medicare Enrolled Practice Location: 450 Syndicate St N Suite 300, Healthpartners Midway Dental Clinic, St. Paul, MN 55104 Phone: 651-254-7373 Fax: 651-254-7383 | |
John R Grittner, Dentist Medicare: Medicare Enrolled Practice Location: 205 S Wabasha St, St. Paul, MN 55107 Phone: 651-293-8300 Fax: 651-293-8130 | |
Dr. Bryan S Michalowicz, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Como Avenue, St. Paul, MN 55108 Phone: 651-429-2299 Fax: 651-429-6630 | |
Dr. Robert John Maley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1150 Montreal Ave, St. Paul, MN 55116 Phone: 651-224-0001 | |
Dr. Gregory James Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1651 North Dale Street, St. Paul, MN 55117 Phone: 651-488-5888 Fax: 651-488-8425 |