| Jared David Peterson, | |
|
5250 Hahns Peak Dr Ste 180, Loveland, CO 80538-8712 | |
| (303) 772-3300 | |
| (303) 682-3380 |
| Full Name | Jared David Peterson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 5 Years |
| Location | 5250 Hahns Peak Dr Ste 180, Loveland, Colorado |
| 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 |
|---|---|---|---|
| 1053904672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD224449 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 193 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared David Peterson, Department Of Ophthalmology Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Jared David Peterson, 5250 Hahns Peak Dr Ste 180, Loveland, CO 80538-8712 Ph: (303) 772-3300 |
Mr. John D Kirk, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3650 E 15th St, Loveland, CO 80538 Phone: 970-669-1107 Fax: 970-669-8849 | |
Dr. Peter R Andrews, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2555 E 13th St, Loveland, CO 80537 Phone: 970-221-2222 Fax: 970-221-4286 | |
Jennifer Diane Cecil, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2902 Ginnala Dr, Suite 1, Loveland, CO 80538 Phone: 970-669-8998 Fax: 970-669-8693 | |
Cullen Dean Ryburn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2975 Ginnala Dr Ste 120, Loveland, CO 80538 Phone: 970-775-5453 Fax: 970-582-1176 |