| Dr Charles Smith Peterson, MD | |
|
3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | |
| (480) 558-3744 | |
| (480) 558-3801 |
| Full Name | Dr Charles Smith Peterson |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 28 Years |
| Location | 3130 E Baseline Rd, Mesa, Arizona |
| 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 |
|---|---|---|---|
| 1952302143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 28027 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arizona Spine And Joint Hospital | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vhs Outpatient Clinics Inc | 4486566726 | 171 |
| Entity Name | Vhs Outpatient Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Smith Peterson, MD 8630 E Via De Ventura Ste 201, Scottsdale, AZ 85258-3358 Ph: (480) 558-3744 | Dr Charles Smith Peterson, MD 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 Ph: (480) 558-3744 |
Dr. Jose Rapanan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10032 E Southern Ave, Mesa, AZ 85209 Phone: 480-351-2850 | |
George Ting, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203 Phone: 480-464-8500 | |
Dr. Thomas P Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-1446 Fax: 480-969-9105 | |
Dana S Farris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209 Phone: 480-834-7546 Fax: 480-833-8313 | |
Mrs. Keona E Smith, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6015 E Brown Rd, Mesa, AZ 85205 Phone: 866-389-2727 | |
Nancy Mucha, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2843 N 89th St, Mesa, AZ 85207 Phone: 480-396-3482 | |
Ryan Elisabeth Romo, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092 |