| Dr Ryan Jon Petersen, MD | |
|
2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281 | |
| (314) 750-3965 | |
| Not Available |
| Full Name | Dr Ryan Jon Petersen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| 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 |
|---|---|---|---|
| 1568551521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD125955 (Oregon) | Primary |
| 207P00000X | Emergency Medicine | BB4745785-2005017258 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Harney District Hospital | Burns, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oregon Emergency Physicians Llc | 6406926211 | 29 |
| Harney District Hospital | 6800877424 | 28 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Entity Name | Central Oregon Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376714543 PECOS PAC ID: 6406926211 Enrollment ID: O20080605000639 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Jon Petersen, MD 2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281 Ph: (314) 750-3965 | Dr Ryan Jon Petersen, MD 2700 Nw Stewart Pkwy, Roseburg Or 97471, Roseburg, OR 97471-1281 Ph: (314) 750-3965 |
Tami Sue Marriott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-677-4333 | |
William S Treloar, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-4313 Fax: 541-677-4533 | |
Dr. David Marc Smith, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-584-2345 Fax: 541-584-2345 | |
Dr. Scott Christian Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-0611 | |
Dr. Daniel Joseph Hull, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-677-2185 Fax: 541-677-2291 | |
Tierney Elizabeth Sathianathan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Dr. Catherine Michelle Kuehne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-677-2185 |