| Dr Jeffrey Scott Peterson, DO | |
|
3085 Sparta St, Mcminnville, TN 37110-1364 | |
| (931) 815-2663 | |
| (931) 815-2664 |
| Full Name | Dr Jeffrey Scott Peterson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 3085 Sparta St, Mcminnville, Tennessee |
| 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 |
|---|---|---|---|
| 1669689949 | NPI | - | NPPES |
| 1519869 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2130 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adoration Home Health, Llc | Nashville, TN | Home health agency |
| Abilis Health Mcminnville, Llc | Mc minnville, TN | Home health agency |
| Saint Thomas River Park Hospital | Mc minnville, TN | Hospital |
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 528 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Seven Springs Orthopaedics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194210005 PECOS PAC ID: 2668725557 Enrollment ID: O20181023001041 |
| Entity Name | Privia Medical Group Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Scott Peterson, DO 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Dr Jeffrey Scott Peterson, DO 3085 Sparta St, Mcminnville, TN 37110-1364 Ph: (931) 815-2663 |
Mr. Alexander M Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1589 Sparta St Ste 307, Mcminnville, TN 37110 Phone: 615-896-6800 Fax: 615-895-8890 |