| Dr Daniel S Petersen, MD | |
|
2844 Index Rd, Fitchburg, WI 53713-3117 | |
| (608) 229-7979 | |
| (608) 229-8110 |
| Full Name | Dr Daniel S Petersen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sleep Medicine |
| Location | 2844 Index Rd, Fitchburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578049763 | NPI | - | NPPES |
| 1578049763 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.073406 (Illinois) | Secondary |
| 207QS1201X | Family Medicine - Sleep Medicine | 77190-20 (Wisconsin) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel S Petersen, MD 2844 Index Rd, Fitchburg, WI 53713-3117 Ph: (608) 229-7979 | Dr Daniel S Petersen, MD 2844 Index Rd, Fitchburg, WI 53713-3117 Ph: (608) 229-7979 |
Mark P. Huth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-661-7200 | |
Katherine A Mccreary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 | |
Alida M Evans, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 Fax: 608-274-4224 | |
Carole Elizabeth Perry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 Fax: 608-274-4224 | |
Dr. Wendy L Molaska, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2990 Triverton Pike Dr # 101, Fitchburg, WI 53711 Phone: 608-305-4515 Fax: 608-721-6006 | |
Lavanya Rajagopalan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3051 Cahill Main, Fitchburg, WI 53711 Phone: 608-661-7200 | |
Mark R Mccabe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5543 E Cheryl Pkwy, Fitchburg, WI 53711 Phone: 608-274-5300 |