| Dr Randhi Wijekularatne Peterson, MD | |
|
120 E Harris Ave, San Angelo, TX 76903-5904 | |
| (325) 653-6741 | |
| (325) 481-2166 |
| Full Name | Dr Randhi Wijekularatne Peterson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 120 E Harris Ave, San Angelo, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831451681 | NPI | - | NPPES |
| Q5902 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q5902 (Texas) | Secondary |
| 208M00000X | Hospitalist | M15216 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randhi Wijekularatne Peterson, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr Randhi Wijekularatne Peterson, MD 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 653-6741 |
David Nichols, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2018 Pulliam St, San Angelo, TX 76905 Phone: 325-659-7290 Fax: 325-659-7291 | |
Dr. Robert D. George, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 Fax: 325-481-2166 | |
Karla Seline Breton, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 |