| Carlotta Petersen, PA | |
|
500 W Main St Ste 200, Lewisville, TX 75057-3639 | |
| (877) 314-8990 | |
| Not Available |
| Full Name | Carlotta Petersen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 32 Years |
| Location | 500 W Main St Ste 200, Lewisville, Texas |
| 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 |
|---|---|---|---|
| 1417288911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00598 (Texas) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA00598 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Alliance | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Orthopaedics Of Irving Pllc | 3779667092 | 57 |
| Entity Name | Elite Orthopaedics of Irving PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982892105 PECOS PAC ID: 3779667092 Enrollment ID: O20080226000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlotta Petersen, PA 6750 N Macarthur Blvd Ste 270, Irving, TX 75039-2469 Ph: (877) 314-8990 | Carlotta Petersen, PA 500 W Main St Ste 200, Lewisville, TX 75057-3639 Ph: (877) 314-8990 |
Megan K Burke, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Fm 544 Ste 100, Lewisville, TX 75056 Phone: 972-394-4600 Fax: 972-394-4622 |
Dr. Esteliz Gillett, DMSC PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2141 S Edmonds Ln, Lewisville, TX 75067 Phone: 972-315-8500 Fax: 972-315-8512 |
Meredith Anne Warnecke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St Ste 350, Lewisville, TX 75057 Phone: 972-459-1330 Fax: 972-459-1331 |
Jennifer Eleen Mitchell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2012 Fm 407 Ste 100, Lewisville, TX 75077 Phone: 972-317-1110 Fax: 972-317-1556 |
Anna Fiebig, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 423 Elm St Unit 120, Lewisville, TX 75057 Phone: 877-314-8990 |
Michael A Badejo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 403 W Main St, Suite B, Lewisville, TX 75057 Phone: 972-436-1811 Fax: 469-464-4398 |
Eva Tong, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Fm 544, Suite 100, Lewisville, TX 75056 Phone: 972-394-4600 Fax: 972-394-4622 |