| Mackenzie Peterson, MD | |
|
536 W 4th Ave, Garnett, KS 66032-1355 | |
| (785) 448-2674 | |
| (785) 448-3091 |
| Full Name | Mackenzie Peterson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 536 W 4th Ave, Garnett, Kansas |
| 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 |
|---|---|---|---|
| 1336174556 | NPI | - | NPPES |
| 7240801 | Other | AETNA | |
| 104817 | Other | KS | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-31228 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes Home Care | Kansas city, MO | Home health agency |
| Angels Care Home Health | Chanute, KS | Home health agency |
| Anderson County Hospital | Garnett, KS | Hospital |
| Allen County Regional Hospital | Iola, KS | Hospital |
| Olathe Medical Center | Olathe, KS | Hospital |
| Parkview Heights | Garnett, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Hospital Of Garnett Inc | 8729071691 | 8 |
| Entity Name | Saint Lukes Hospital Of Garnett Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619901725 PECOS PAC ID: 8729071691 Enrollment ID: O20040406001183 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Peterson, MD Po Box 309, Garnett, KS 66032-0309 Ph: (785) 448-2674 | Mackenzie Peterson, MD 536 W 4th Ave, Garnett, KS 66032-1355 Ph: (785) 448-2674 |
Tanya Renee Ewert, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33520 Ne 1900th Rd, Garnett, KS 66032 Phone: 785-304-0780 | |
David V Henderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 312 S Maple St, Garnett, KS 66032 Phone: 785-448-6988 Fax: 785-448-2243 | |
Ross M Kimball, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 S Maple St, Garnett, KS 66032 Phone: 888-777-9170 Fax: 785-448-3091 |