| Dr James Robert Petersen, DO | |
|
1407 N Whisenant Dr, Duncan, OK 73533 | |
| (580) 252-5300 | |
| Not Available |
| Full Name | Dr James Robert Petersen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1407 N Whisenant Dr, Duncan, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992145098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5698 (Oklahoma) | Primary |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | South Central Emergency Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663724 PECOS PAC ID: 8224212949 Enrollment ID: O20110405000201 |
| Entity Name | Oklahoma Emergency Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Entity Name | Emergency Physicians of Mid-america PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063825297 PECOS PAC ID: 2062638661 Enrollment ID: O20140716001692 |
| Entity Name | Jackson County Memorial Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295735991 PECOS PAC ID: 1759293178 Enrollment ID: O20190603002585 |
| Entity Name | Duncan Regional Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699318147 PECOS PAC ID: 5193613057 Enrollment ID: O20200930003440 |
| Entity Name | Elite Hospital Partners of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104404 PECOS PAC ID: 6800241225 Enrollment ID: O20231025002415 |
| Entity Name | Centurion Emergency Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750112942 PECOS PAC ID: 1153853130 Enrollment ID: O20241015003493 |
| Entity Name | Jackson County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295735991 PECOS PAC ID: 1759293178 Enrollment ID: O20260309002257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Robert Petersen, DO 2608 Wildwood Pl, Duncan, OK 73533-1805 Ph: (918) 352-0432 | Dr James Robert Petersen, DO 1407 N Whisenant Dr, Duncan, OK 73533 Ph: (580) 252-5300 |
John Josiah Harrison, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 N Whisenant Dr, Duncan, OK 73533 Phone: 580-251-8458 |
Dr. David Arthur Tilles, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1407 N Whisenant Dr, Duncan, OK 73533 Phone: 580-251-8458 |