| Dr Matthew James Petersen, MD | |
|
1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202-1239 | |
| (317) 962-5740 | |
| Not Available |
| Full Name | Dr Matthew James Petersen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1972767556 | NPI | - | NPPES |
| 201027110 | Medicaid | IN | |
| P00966874 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11013619A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01069464A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Health First Medical Group Llc | 7416100672 | 596 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew James Petersen, MD 714 N Senate Ave, Ste 100, Indianapolis, IN 46202-3763 Ph: () - | Dr Matthew James Petersen, MD 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202-1239 Ph: (317) 962-5740 |
Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729 | |
Dr. Caryn C Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5901 Technology Center Dr, Indianapolis, IN 46278 Phone: 317-328-4777 Fax: 317-715-9965 | |
Dr. Stefan Andrew Hoff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-806-8260 Fax: 317-806-8296 | |
Sean David Gussick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202 Phone: 317-962-5740 | |
Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130 | |
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281 |