| Mrs Johanna Rae Peterson, PA-C | |
|
61250 Se Coombs Pl, Bend, OR 97702-3704 | |
| (541) 706-5930 | |
| (541) 706-5931 |
| Full Name | Mrs Johanna Rae Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 61250 Se Coombs Pl, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1396934238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA01280 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 8729111513 | 206 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Johanna Rae Peterson, PA-C Po Box 1188, Corvallis, OR 97339-1188 Ph: () - | Mrs Johanna Rae Peterson, PA-C 61250 Se Coombs Pl, Bend, OR 97702-3704 Ph: (541) 706-5930 |
Calli Elizabeth Rogowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-4900 | |
Christopher R Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2065 Ne Tucson Way Apt 110, Bend, OR 97701 Phone: 541-383-3005 Fax: 541-383-1883 | |
Jean M Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-1636 Fax: 541-388-1719 | |
Gregory R. Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 Fax: 541-706-2398 | |
Hope Elizabeth Cline, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19393 Sw Laurelhurst Way, Bend, OR 97702 Phone: 717-823-0058 | |
Dayna Dobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-388-4333 Fax: 541-388-1719 | |
Mitchell Davis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 |