| Jon T Peterson, MD | |
|
2871 Greensboro Rd, Martinsville, VA 24112-8108 | |
| (276) 638-2273 | |
| Not Available |
| Full Name | Jon T Peterson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2871 Greensboro Rd, Martinsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407870975 | NPI | - | NPPES |
| 8906672 | Medicaid | NC | |
| 1407870975 | Medicaid | VA | |
| 010064325 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101052027 (Virginia) | Primary |
| Entity Name | Dr. Jons Urgent Care Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639403769 PECOS PAC ID: 5294873378 Enrollment ID: O20091110000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon T Peterson, MD 2871 Greensboro Rd, Martinsville, VA 24112-8108 Ph: (276) 638-2273 | Jon T Peterson, MD 2871 Greensboro Rd, Martinsville, VA 24112-8108 Ph: (276) 638-2273 |
Mark B Stowe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 320 Hospital Dr, Emergency Dept., Martinsville, VA 24112 Phone: 276-666-7200 Fax: 276-666-7600 | |
Edna E Ekuban-gordon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Hospital Dr, Emergency Dept., Martinsville, VA 24112 Phone: 276-666-7237 Fax: 276-666-7600 | |
Jeffrey W Horton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 Hospital Dr, Emergency Dept, Martinsville, VA 24112 Phone: 276-666-7237 Fax: 276-666-7852 | |
Peter J Mannen, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 320 Hospital Dr, Martinsville, VA 24112 Phone: 276-666-7200 | |
Richard S Perren, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 320 Hospital Dr, Emergency Dept, Martinsville, VA 24112 Phone: 276-666-7237 | |
Barton G Siebring, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Dr Jon's Urgent Care Center, 2871 Greensboro Rd, Martinsville, VA 24112 Phone: 276-638-2273 Fax: 276-638-2223 |