| Jan E Peterson Ii, MD | |
|
2001 W 86th St, Indianapolis, IN 46260-1902 | |
| (317) 338-3634 | |
| Not Available |
| Full Name | Jan E Peterson Ii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 2001 W 86th St, 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 |
|---|---|---|---|
| 1033165931 | NPI | - | NPPES |
| 000000381516 | Other | IN | ANTHEM |
| 200052650 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01044172A (Indiana) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 01044172A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Carmel | Carmel, IN | Hospital |
| Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
| Riverview Health | Noblesville, IN | Hospital |
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Medical Group Inc | 7012047640 | 673 |
| St Vincent Physician Services Hospital And Health Care Center | 9638072184 | 252 |
| Entity Name | St Vincent Physician Services Hospital And Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Entity Name | Post Acute Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609268259 PECOS PAC ID: 5698092732 Enrollment ID: O20150330000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan E Peterson Ii, MD 10330 N Meridian St # 300, Indianapolis, IN 46290-1024 Ph: () - | Jan E Peterson Ii, MD 2001 W 86th St, Indianapolis, IN 46260-1902 Ph: (317) 338-3634 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |