| Dallas Elwood Peterson, MD | |
|
300 W Central Texas Expy Ste 117, Harker Heights, TX 76548-1888 | |
| (254) 457-4432 | |
| (254) 618-4941 |
| Full Name | Dallas Elwood Peterson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 300 W Central Texas Expy Ste 117, Harker Heights, Texas |
| 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 |
|---|---|---|---|
| 1265403638 | NPI | - | NPPES |
| 315441 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4764 (Texas) | Primary |
| 207Q00000X | Family Medicine | 23268 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hana Care Texas | Austin, TX | Home health agency |
| Jordan Health Services, A Part Of The Elara Caring | Round rock, TX | Home health agency |
| Seton Medical Center Harker Heights | Harker heights, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lhp Texas Md Services, Inc | 8527222108 | 31 |
| Entity Name | Lhp Texas Md Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841562667 PECOS PAC ID: 8527222108 Enrollment ID: O20120611000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Elwood Peterson, MD 300 W Central Texas Expy Ste 117, Harker Heights, TX 76548-1888 Ph: (254) 457-4432 | Dallas Elwood Peterson, MD 300 W Central Texas Expy Ste 117, Harker Heights, TX 76548-1888 Ph: (254) 457-4432 |
Dr. Vivek Kirparam Verma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 W Central Texas Expy, Harker Heights, TX 76548 Phone: 402-708-7400 | |
Dr. Kenechukwu O Eneli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Texas Expy, 125, Harker Heights, TX 76548 Phone: 254-618-1050 Fax: 254-618-1058 | |
Dr. Iyabo A Elemuren-ogunmuyiwa, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 813 S Amy Ln, Ste 101, Harker Heights, TX 76548 Phone: 254-699-8521 Fax: 254-213-1509 | |
Jay Mckenna, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Central Texas Expy Ste 115, Harker Heights, TX 76548 Phone: 254-833-8456 | |
Dr. Kirk W Eggleston, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 E Central Texas Expy Ste 200, Harker Heights, TX 76548 Phone: 254-499-8743 | |
Dr. Jason Scott Wieman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2025 Memory Ln, Harker Heights, TX 76548 Phone: 806-810-0585 |