| Dr Cheryl S Peterson, MD | |
|
2797 Prairie Ave, Suite 26, Beloit, WI 53511-2288 | |
| (815) 714-8030 | |
| Not Available |
| Full Name | Dr Cheryl S Peterson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2797 Prairie Ave, Beloit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386737674 | NPI | - | NPPES |
| 553180 | Other | IL | MEDICARE GROUP # |
| 31600400 | Medicaid | WI | |
| 834340 | Other | IL | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-080979 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 31236020 (Wisconsin) | Primary |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Entity Name | Glutality Provider Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200804002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cheryl S Peterson, MD 2797 Prairie Ave, Suite 26, Beloit, WI 53511-2288 Ph: (815) 714-8030 | Dr Cheryl S Peterson, MD 2797 Prairie Ave, Suite 26, Beloit, WI 53511-2288 Ph: (815) 714-8030 |
Imad M. Aziz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2825 Prairie Ave, Beloit, WI 53511 Phone: 608-363-5500 Fax: 608-363-5539 | |
Stephen R Rudisill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Lee Lane, Occupation Health Sports & Family Medicine Center, Beloit, WI 53511 Phone: 608-362-0211 Fax: 608-364-4670 | |
Jennifer S. Cho-escalante, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2240 Fax: 608-363-7394 | |
Nicole T. Hemkes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511 Phone: 608-363-5971 Fax: 608-636-5737 | |
Maria M. Poplawska Goetzen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2410 Fax: 608-364-1287 | |
Dr. Jack-ky Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System, Inc, Beloit, WI 53511 Phone: 608-364-2410 Fax: 608-364-1287 | |
Dr. Christel Tecarro, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2240 Fax: 608-363-7374 |