| Scott William Peterson, MD | |
|
40100 Us-27, Davenport, FL 33837 | |
| (352) 265-0290 | |
| (352) 265-0279 |
| Full Name | Scott William Peterson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 40100 Us-27, Davenport, Florida |
| 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 |
|---|---|---|---|
| 1174528780 | NPI | - | NPPES |
| 273967400 | Medicaid | FL | |
| 1698954 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 21748 (Louisiana) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME80915 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Naples Community Hospital | Naples, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proscan Nch Imaging Llc | 6103233051 | 104 |
| Nchmd Inc | 9436139565 | 503 |
| Entity Name | Nchmd Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831120195 PECOS PAC ID: 9436139565 Enrollment ID: O20040721000254 |
| Entity Name | Proscan Nch Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003406711 PECOS PAC ID: 6103233051 Enrollment ID: O20210322001326 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott William Peterson, MD Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 265-0290 | Scott William Peterson, MD 40100 Us-27, Davenport, FL 33837 Ph: (352) 265-0290 |
Oliver F Hamilton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2235 North Boulevard West, Davenport, FL 33837 Phone: 863-421-8674 |
Mr. Anthony T Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622 |
Dr. Randy V Heysek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 |
Kenneth M. Neigut, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 40107 Hwy 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 |
Mr. Ivan G Murray, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622 |
Michael David Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40107 Highway 27, Davenport, FL 33837 Phone: 863-419-0692 Fax: 863-419-1695 |
Gerard J Murphy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2235 North Blvd West, Davenport, FL 33837 Phone: 863-421-8674 Fax: 863-421-9622 |