Blake Peterson, MD | |
2445 Army Navy Dr, Arlington, VA 22206-2905 | |
(703) 892-6500 | |
Not Available |
Full Name | Blake Peterson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 2445 Army Navy Dr, Arlington, 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 |
---|---|---|---|
1023379849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2012015918 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Freudenthal Home Health | Saint joseph, MO | Home health agency |
Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
Serve Link Home Care, Inc | Trenton, MO | Home health agency |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Ssm Health St. Francis Hospital- Maryville | Maryville, MO | Hospital |
Wright Memorial Hospital | Trenton, MO | Hospital |
Cameron Regional Medical Center | Cameron, MO | Hospital |
Hiawatha Community Hospital | Hiawatha, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic And Sports Medicine Center Llc | 5294700449 | 13 |
Performance Plus Rehabilitation Center Llc | 5294791695 | 84 |
Select Physical Therapy Holdings Inc | 9537076401 | 1487 |
Entity Name | Orthopedic & Sports Medicine Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093780645 PECOS PAC ID: 5294700449 Enrollment ID: O20040903000403 |
Mailing Address | Practice Location Address |
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Blake Peterson, MD 1100 Virginia Ave, Columbia, MO 65212-0001 Ph: () - | Blake Peterson, MD 2445 Army Navy Dr, Arlington, VA 22206-2905 Ph: (703) 892-6500 |
Dr. Derek H. Ochiai, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1715 N George Mason Dr, Suite 504, Arlington, VA 22205 Phone: 703-525-2200 Fax: 703-522-2603 | |
Mr. Zachary Andrew Mosher, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2800 S Shirlington Rd Fl 11, Arlington, VA 22206 Phone: 703-892-6500 | |
Dr. Andrew S Holmes, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1635 N George Mason Dr Ste 180, Arlington, VA 22205 Phone: 301-530-1010 Fax: 301-897-8597 | |
Dr. Daniel Gerscovich, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2445 Army Navy Dr, Anderson Clinic Inc, Arlington, VA 22206 Phone: 703-892-6500 Fax: 703-769-8486 | |
Dr. Robert P. Nirschl, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1715 N George Mason Dr, Suite 504, Arlington, VA 22205 Phone: 703-525-2200 Fax: 703-522-2603 | |
Dr. Steven Marc Danaceau, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2501 N Glebe Rd, Suite 201, Arlington, VA 22207 Phone: 703-469-3971 Fax: 703-524-8281 |