| Dr Jason N Peter, DO | |
|
2885 E Long Lake Rd Ste A, Troy, MI 48085-4100 | |
| (248) 266-9137 | |
| Not Available |
| Full Name | Dr Jason N Peter |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 25 Years |
| Location | 2885 E Long Lake Rd Ste A, Troy, Michigan |
| 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 |
|---|---|---|---|
| 1851581789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 5101014928 (Michigan) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 5101014928 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Clinic Management Group Pllc | 9537308192 | 12 |
| Entity Name | Pain Clinic Management Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225302821 PECOS PAC ID: 9537308192 Enrollment ID: O20130612000385 |
| Entity Name | Kelly Otp Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265150767 PECOS PAC ID: 0446636385 Enrollment ID: O20220930000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason N Peter, DO 2820 Crooks Rd Ste 100, Rochester Hills, MI 48309-3620 Ph: (586) 977-7246 | Dr Jason N Peter, DO 2885 E Long Lake Rd Ste A, Troy, MI 48085-4100 Ph: (248) 266-9137 |
Martin Glowacki, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6535 Rochester Rd, Suite 102, Troy, MI 48085 Phone: 248-813-0060 Fax: 248-813-0066 |