| Dr Kevin Thomas Petersen, DO | |
|
220 Hovey Rd Fl 32508, Pensacola, FL 32508-1044 | |
| (850) 452-9484 | |
| Not Available |
| Full Name | Dr Kevin Thomas Petersen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 220 Hovey Rd Fl 32508, Pensacola, Florida |
| 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 |
|---|---|---|---|
| 1356778419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | DO3578 (Nevada) | Primary |
| 208600000X | Surgery | 294233 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unlv Medicine | 4183991458 | 158 |
| Entity Name | Unlv Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407397235 PECOS PAC ID: 4183991458 Enrollment ID: O20170517002454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Thomas Petersen, DO 220 Hovey Rd Fl 32508, Pensacola, FL 32508-1044 Ph: () - | Dr Kevin Thomas Petersen, DO 220 Hovey Rd Fl 32508, Pensacola, FL 32508-1044 Ph: (850) 452-9484 |
William J Kaiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
Valerie Marie Pruitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4451 Bayou Blvd, Pensacola, FL 32503 Phone: 850-416-6159 Fax: 850-416-7198 | |
Dr. Mark Edward Lytle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave, Suite 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
John A Tucker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Floor, Pensacola, FL 32514 Phone: 850-437-3777 Fax: 850-437-3318 | |
Ludovic M Lasquety, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5147 N 9th Ave, Ste. 203, Pensacola, FL 32504 Phone: 850-476-6110 Fax: 850-479-6042 | |
Layne R. Yonehiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 N E St, Suite 533, Pensacola, FL 32501 Phone: 850-429-0102 Fax: 850-429-0830 | |
Dr. John David Nye, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1717 N E St, Suite 300, Pensacola, FL 32501 Phone: 850-444-4741 Fax: 850-438-7169 |