| Timothy M Peterson, MD | |
|
520 South Sibley Ave, Affiliated Community Medical Centers, Litchfield, MN 55355 | |
| (320) 693-3233 | |
| (319) 384-6004 |
| Full Name | Timothy M Peterson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 44 Years |
| Location | 520 South Sibley Ave, Litchfield, Minnesota |
| 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 |
|---|---|---|---|
| 1306055355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R6912 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meeker Memorial Hospital | Litchfield, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Meeker | 0840109740 | 29 |
| Entity Name | County Of Meeker |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083221816 PECOS PAC ID: 0840109740 Enrollment ID: O20040216000811 |
| Entity Name | County Of Meeker |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598860215 PECOS PAC ID: 0840109740 Enrollment ID: O20080429000879 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M Peterson, MD 520 South Sibley Ave, Affiliated Community Medical Centers, Litchfield, MN 55355 Ph: (320) 693-3233 | Timothy M Peterson, MD 520 South Sibley Ave, Affiliated Community Medical Centers, Litchfield, MN 55355 Ph: (320) 693-3233 |
Dhanush D Prasad, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-2804 Fax: 320-693-5111 |