| Jane K Peterson, MD | |
|
153 Cesar Chavez St, W. St. Paul, MN 55107-2226 | |
| (651) 222-1816 | |
| (651) 222-1305 |
| Full Name | Jane K Peterson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 153 Cesar Chavez St, W. St. Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1598872806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48728 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Side Community Health Services, Inc. | 2062306434 | 42 |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Jane K Peterson, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 | Jane K Peterson, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 |
Dr. Mary Nesvig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Lynne Ogawa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
John Hick, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Jessica G Pereira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Kathleen Culhane-pera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 |