| Matthew Peterkin, SRNA | |
|
2101 N Waterman Ave, San Bernardino, CA 92404-4836 | |
| (909) 269-1947 | |
| Not Available |
| Full Name | Matthew Peterkin |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2101 N Waterman Ave, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124733555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002412 (California) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN2351699 (Massachusetts) | Secondary |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Peterkin, SRNA 55 Queensberry St Apt 4, Boston, MA 02215-4805 Ph: () - | Matthew Peterkin, SRNA 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 269-1947 |
William Perkins, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Antonio Moreno, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Christina Maria Picar Tan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Vincent Scheuher, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Andrew Steven Lim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Louise Harrell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 165 W Hospitality Ln, Suite 1, San Bernardino, CA 92408 Phone: 909-885-0282 Fax: 909-889-7367 |