| Mr Tyler Alan Peterson, DO | |
|
888 S Rancho Dr, Las Vegas, NV 89106-3810 | |
| (702) 877-5199 | |
| Not Available |
| Full Name | Mr Tyler Alan Peterson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 888 S Rancho Dr, Las Vegas, Nevada |
| 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 |
|---|---|---|---|
| 1467800243 | NPI | - | NPPES |
| V58740 | Other | NV | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SL1157 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | DO2471 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Pershing General Hospital | Lovelock, NV | Hospital |
| Mount Grant General Hospital | Hawthorne, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carson Tahoe Physician Clinics | 1153479027 | 109 |
| Mt Grant General Hospital | 1951290337 | 13 |
| Pershing General Hospital | 7012825433 | 7 |
| Entity Name | Southwest Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102 |
| Entity Name | Carson Tahoe Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360160 PECOS PAC ID: 1759284862 Enrollment ID: O20040128000187 |
| Entity Name | Pershing General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669490603 PECOS PAC ID: 7012825433 Enrollment ID: O20040224001254 |
| Entity Name | Mt Grant General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801844527 PECOS PAC ID: 1951290337 Enrollment ID: O20040312001277 |
| Entity Name | Optum Medical Group Ii Rhodes P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
| Entity Name | Carson Tahoe Physician Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023265717 PECOS PAC ID: 1153479027 Enrollment ID: O20090502000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler Alan Peterson, DO Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Mr Tyler Alan Peterson, DO 888 S Rancho Dr, Las Vegas, NV 89106-3810 Ph: (702) 877-5199 |
Patricia May B. Lacsina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-877-5199 | |
Nittu Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113 Phone: 702-952-9171 Fax: 702-952-9170 | |
Dr. Alan Michael Zeto Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 | |
Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451 | |
Frederick J Lippmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570 | |
Dr. Constance Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212 | |
Dr. Chad Robinson Black, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470 |