| Robert L Petersen, MD | |
|
1055 N Curtis Rd, Boise, ID 83706-1309 | |
| (208) 367-7350 | |
| (208) 367-3951 |
| Full Name | Robert L Petersen |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 29 Years |
| Location | 1055 N Curtis Rd, Boise, Idaho |
| 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 |
|---|---|---|---|
| 1043229685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | M8085 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Directors Of Idaho Pllc | 1951628544 | 15 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 541 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Entity Name | Medical Directors Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710392410 PECOS PAC ID: 1951628544 Enrollment ID: O20150319000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Petersen, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Robert L Petersen, MD 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-7350 |
Dr. Derek Ryan Mcdowell, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-814-4100 | |
Scott V. Jensen, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 4c116, Boise, ID 83712 Phone: 208-351-6368 | |
Lindsay M Tverdy Winans, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Jenifer L Barry, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1525 S Owyhee St, Boise, ID 83705 Phone: 208-344-8482 Fax: 208-345-5426 | |
Dr. Lisa Marie Hunt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 | |
Elizabeth Brooke Olberding, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-4166 |