| Mr Lars E Peterson, MD | |
|
255 N 30th St, Laramie, WY 82072-5140 | |
| (307) 742-2141 | |
| Not Available |
| Full Name | Mr Lars E Peterson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 255 N 30th St, Laramie, Wyoming |
| 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 |
|---|---|---|---|
| 1023110640 | NPI | - | NPPES |
| 119117900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6962A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ivinson Memorial Hospital | Laramie, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivinson Memorial Hospital | 8325304447 | 50 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lars E Peterson, MD 320 S 7th St, Laramie, WY 82070-3822 Ph: (307) 399-2883 | Mr Lars E Peterson, MD 255 N 30th St, Laramie, WY 82072-5140 Ph: (307) 742-2141 |
Mr. William Michael Comly, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3116 Willett Drive, Laramie, WY 82072 Phone: 307-745-8999 Fax: 307-745-4150 | |
Dr. Molly Adami, DNP, FNP-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3116 Willett Dr, Laramie, WY 82072 Phone: 307-755-4540 | |
Nathan Valencia Still, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. Julie Ann Carlson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 E University Ave, University Of Wyoming Student Health, Laramie, WY 82071 Phone: 307-766-2130 Fax: 307-766-2711 | |
Dr. Jean M Allais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 255 N. 30th St, Adult & Geriatric Medical Specialties, Laramie, WY 82072 Phone: 307-742-6319 Fax: 307-742-6346 | |
Mr. Marten A Carlson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3116 Willett Drive, Laramie, WY 82072 Phone: 307-745-8800 Fax: 307-745-4150 |