| Michael E Peterson, MD | |
|
1115 W 9th St, Yankton, SD 57078-3310 | |
| (605) 668-8850 | |
| (605) 668-9448 |
| Full Name | Michael E Peterson |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 45 Years |
| Location | 1115 W 9th St, Yankton, South Dakota |
| 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 |
|---|---|---|---|
| 1336238757 | NPI | - | NPPES |
| 236639 | Other | SD | MIDLANDS CHOICE |
| 7200512 | Medicaid | SD | |
| 1580614 | Other | SD | ARAZ |
| 4826 | Other | SD | DAKOTACARE |
| 01030622 | Other | SD | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 4826 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 927 |
| Sacred Heart Health Services | 6103729066 | 85 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Entity Name | Avera Queen Of Peace |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Peterson, MD 1000 W 4th St, Suite 12, Yankton, SD 57078-3730 Ph: (605) 274-2178 | Michael E Peterson, MD 1115 W 9th St, Yankton, SD 57078-3310 Ph: (605) 668-8850 |
Dr. Will R Eidsness, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1104 W 8th St, Yankton, SD 57078 Phone: 605-665-7841 | |
Lawrence M Leon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1000 W 4th St Ste 8, Yankton, SD 57078 Phone: 605-655-1414 Fax: 605-655-1420 |