| Justin Peterson, MD | |
|
Budge General Surgery, 1350 N 500 E, Logan, UT 84341-0001 | |
| (435) 716-1950 | |
| (435) 716-1950 |
| Full Name | Justin Peterson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | Budge General Surgery, Logan, 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 |
|---|---|---|---|
| 1811336241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | IP1433 (Kentucky) | Secondary |
| 208600000X | Surgery | 10933355-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Peterson, MD Ky Clinic General Surgery, 740 S Limestone, Lexington, KY 40536-0001 Ph: (859) 218-2568 | Justin Peterson, MD Budge General Surgery, 1350 N 500 E, Logan, UT 84341-0001 Ph: (435) 716-1950 |
Gregg Arthur Marshall, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Dr. Logan Reed Mckenna, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Dr. Jessica Reynolds, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Lee S Broadbent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Suite D, Logan, UT 84341 Phone: 435-752-7122 Fax: 435-755-9579 | |
Dr. Mark T Hansen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1950 | |
Allan David Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1950 |