| Dr Michael Warren Peterson, DO | |
|
114 East 800 North, Spanish Fork, UT 84660 | |
| (801) 794-1490 | |
| (801) 794-1495 |
| Full Name | Dr Michael Warren Peterson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 25 Years |
| Location | 114 East 800 North, Spanish Fork, Utah |
| 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 |
|---|---|---|---|
| 1770634909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 7247463-1204 (Utah) | Primary |
| 207N00000X | Dermatology | 47784-021 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Wound Care Of Utah Pllc | 4789023904 | 2 |
| Springville Dermatology And Diagnostics Pc | 5991930406 | 5 |
| Arizona Desert Dermatology And Surgery Pc | 6305732512 | 9 |
| Entity Name | Springville Dermatology & Diagnostics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992144364 PECOS PAC ID: 5991930406 Enrollment ID: O20131107001821 |
| Entity Name | Advanced Wound Care Of Utah Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568233898 PECOS PAC ID: 4789023904 Enrollment ID: O20240419001804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Warren Peterson, DO 732 N Main St, Springville, UT 84663-1034 Ph: (801) 704-7001 | Dr Michael Warren Peterson, DO 114 East 800 North, Spanish Fork, UT 84660 Ph: (801) 794-1490 |
Dr. Michael P Eyre, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 114 E 800 N, Spanish Fork, UT 84660 Phone: 801-794-1490 Fax: 801-794-1495 | |
Dr. Warren Albert Peterson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 78 East 900 North, Spanish Fork, UT 84660 Phone: 801-794-1490 | |
Meredith A. Gaufin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 819 E Market Place Dr, Spanish Fork, UT 84660 Phone: 801-357-7280 | |
Dr. Chad Peterson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 114 E 800 N, Spanish Fork, UT 84660 Phone: 801-794-1490 Fax: 801-794-1495 |