| Gregory G Petersen, MD | |
|
8th Avenue And C Street, Lds Hospital, Salt Lake City, UT 84143 | |
| (801) 507-5248 | |
| Not Available |
| Full Name | Gregory G Petersen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 8th Avenue And C Street, Salt Lake City, 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 |
|---|---|---|---|
| 1285687012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 318119-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Anesthesia Llc | 9032018502 | 256 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory G Petersen, MD 3340 North Center St, #800, Lehi, UT 84043-7406 Ph: (801) 990-1911 | Gregory G Petersen, MD 8th Avenue And C Street, Lds Hospital, Salt Lake City, UT 84143 Ph: (801) 507-5248 |
Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254 | |
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578 | |
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367 | |
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393 | |
Dennis L. Morris, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Zachary R. Jergensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108 Phone: 801-581-6393 |