| Dr Erik Jordan Peterson, MD | |
|
5130 Fairview Blvd Ste 100, Wyoming, MN 55092-8050 | |
| (651) 439-8807 | |
| (651) 439-0232 |
| Full Name | Dr Erik Jordan Peterson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 5130 Fairview Blvd Ste 100, Wyoming, Minnesota |
| 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 |
|---|---|---|---|
| 1174766505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 62173-20 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | 57620 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Firstlight Health System | Mora, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
| Entity Name | Infinite Health Collaborative, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erik Jordan Peterson, MD 5130 Fairview Blvd Ste 100, Wyoming, MN 55092-8050 Ph: (651) 439-8807 | Dr Erik Jordan Peterson, MD 5130 Fairview Blvd Ste 100, Wyoming, MN 55092-8050 Ph: (651) 439-8807 |
Dr. Jeffrey D Ley, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-389-0189 Fax: 651-982-7677 |