| Dr Justin William Peterson, DO | |
|
2424 S 90th St, West Allis, WI 53227-2455 | |
| (414) 321-2255 | |
| Not Available |
| Full Name | Dr Justin William Peterson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 2424 S 90th St, West Allis, Wisconsin |
| 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 |
|---|---|---|---|
| 1033558010 | NPI | - | NPPES |
| 100091524 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 71467 (Wisconsin) | Primary |
| 207X00000X | Orthopaedic Surgery | 5101020737 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aspen Orthopaedic And Rehabilitation Specialists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366473597 PECOS PAC ID: 8325930480 Enrollment ID: O20040325000848 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin William Peterson, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 321-2255 | Dr Justin William Peterson, DO 2424 S 90th St, West Allis, WI 53227-2455 Ph: (414) 321-2255 |
Jeffrey E Larson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Patrick W Cummings, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Marc-antoine Tremblay, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Michael James Stoesz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Lee M Tyne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Lisa A Sienkiewicz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 |