Dr Karen A Peterson, MD | |
10400 75th St, Kenosha, WI 53142-8323 | |
(262) 948-5600 | |
Not Available |
Full Name | Dr Karen A Peterson |
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Gender | Female |
Speciality | Anesthesiology |
Location | 10400 75th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699091215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 67282-20 (Wisconsin) | Secondary |
207L00000X | Anesthesiology | 036122842 (Illinois) | Primary |
Entity Name | Adventist Health Partners, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932650496 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
Entity Name | Premiere Anesthesia Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720467392 PECOS PAC ID: 6608187810 Enrollment ID: O20150615001464 |
Mailing Address | Practice Location Address |
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Dr Karen A Peterson, MD 208 Northampton Ln, Lincolnshire, IL 60069-2400 Ph: (847) 456-8367 | Dr Karen A Peterson, MD 10400 75th St, Kenosha, WI 53142-8323 Ph: (262) 948-5600 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Rick J Hutson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Marijan Jednacak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-697-7000 | |
Dr. Paul G Spottswood, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Faraz Ahmad Khan Daha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 | |
Timothy James Maher, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 414-389-2131 | |
Dr. Kishwar Naz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 |