| Mr Bendt P Petersen Iii, MD | |
|
6701 Airport Blvd Ste 100, Mobile, AL 36608-6701 | |
| (251) 607-6117 | |
| (251) 219-0746 |
| Full Name | Mr Bendt P Petersen Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 6701 Airport Blvd Ste 100, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1477510915 | NPI | - | NPPES |
| 512-30874 | Other | AL | BCBS |
| 249129 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 00016728 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hospital | Mobile, AL | Hospital |
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Petersen Neurospine Pllc | 6204268022 | 3 |
| Entity Name | Petersen Neurospine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639710882 PECOS PAC ID: 6204268022 Enrollment ID: O20191118000582 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bendt P Petersen Iii, MD 6701 Airport Blvd, Building D Suite 100, Mobile, AL 36608 Ph: (251) 607-6117 | Mr Bendt P Petersen Iii, MD 6701 Airport Blvd Ste 100, Mobile, AL 36608-6701 Ph: (251) 607-6117 |
Derek Klavas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 | |
Matthew Skinner, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720 Spring Hill Ave Ste 301, Mobile, AL 36604 Phone: 251-435-2663 Fax: 251-435-1098 | |
Dr. Murphy Mcgriff Walters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-665-8200 Fax: 251-665-8210 | |
Mrs. Asra Toobaie, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-665-8200 Fax: 251-665-8210 | |
Dr. Charles Henry Wilson Iv, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
Dr. Robert Ball Mcginley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
Dr. Blake David Bowden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720 Spring Hill Ave Ste 3, Mobile, AL 36604 Phone: 251-435-2663 Fax: 251-435-1098 |