| Steven J Petersen Jr, MD | |
|
874 Preservation Cir, Pawleys Island, SC 29585-8340 | |
| (920) 217-9708 | |
| (920) 217-9708 |
| Full Name | Steven J Petersen Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 26 Years |
| Location | 874 Preservation Cir, Pawleys Island, South Carolina |
| 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 |
|---|---|---|---|
| 1619997798 | NPI | - | NPPES |
| 34360900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 40029 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 35746 (Tennessee) | Primary |
| 207L00000X | Anesthesiology | 45500 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Coast Anesthesia Services Pc | 3971887167 | 65 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Anesthesia Associates Of Rock Hill Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811977200 PECOS PAC ID: 6305740259 Enrollment ID: O20031121000543 |
| Entity Name | Inlet Anesthesia Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700031002 PECOS PAC ID: 8729143847 Enrollment ID: O20090224000309 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Entity Name | Atlantic Coast Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J Petersen Jr, MD 874 Preservation Cir, Pawleys Island, SC 29585-8340 Ph: (920) 217-9708 | Steven J Petersen Jr, MD 874 Preservation Cir, Pawleys Island, SC 29585-8340 Ph: (920) 217-9708 |
Dr. Scott E Thomas, MD, MBA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 313 Chapman Loop, Pawleys Island, SC 29585 Phone: 303-579-8759 | |
Benjamin George Cameransi Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9180 Ocean Hwy, Unit 6, Pawleys Island, SC 29585 Phone: 615-824-3737 | |
Dr. Kent Jack Homnick, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 42 Unity Pl, Pawleys Island, SC 29585 Phone: 843-446-0937 | |
Michael Ford, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18-2 Hamstead Pl, Pawleys Island, SC 29585 Phone: 720-281-7641 | |
Dr. Patricia R Grant, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 313b Commerce Dr, Pawleys Island, SC 29585 Phone: 843-894-0978 Fax: 843-894-1106 |