| Ms Lucy Elizabeth Peterson, MD | |
|
907 S Perry St, Spokane, WA 99202-3462 | |
| (509) 838-3937 | |
| Not Available |
| Full Name | Ms Lucy Elizabeth Peterson |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 46 Years |
| Location | 907 S Perry St, Spokane, Washington |
| 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 |
|---|---|---|---|
| 1790776425 | NPI | - | NPPES |
| 1086222 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 01082989A (Indiana) | Secondary |
| 208200000X | Plastic Surgery | MD00031440 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 232 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lucy Elizabeth Peterson, MD Po Box 8168, Spokane, WA 99203-0168 Ph: (509) 838-3937 | Ms Lucy Elizabeth Peterson, MD 907 S Perry St, Spokane, WA 99202-3462 Ph: (509) 838-3937 |
Christopher John Pannucci, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 S Mcclellan St Ste 200, Spokane, WA 99204 Phone: 509-838-7100 Fax: 509-227-7070 | |
Dr. Alfonso Oliva, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 S Cowley St Ste 140, Spokane, WA 99202 Phone: 509-838-1010 Fax: 509-777-1070 | |
Dr. Robert L Cooper Jr., M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 530 S Cowley St, Ste. 100, Spokane, WA 99202 Phone: 509-838-7028 Fax: 509-623-2177 | |
Kyle Edwards, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 S Mcclellan St Ste 118, Spokane, WA 99204 Phone: 509-838-7100 | |
Dr. Derek Ryan Fletcher, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 530 S Cowley St, Spokane, WA 99202 Phone: 509-321-6033 | |
Laura A Bonneau, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 S Mcclellan St Ste 300, Spokane, WA 99204 Phone: 509-838-7100 Fax: 509-227-7070 | |
Mrs. Lynn Dee Derby, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 235 E Rowan Ave, Ste 206, Spokane, WA 99207 Phone: 509-484-1212 Fax: 509-484-1277 |