| Michael C Peterson, PA-C | |
|
Lhpg Mentor Family Practice, 8655 Market Street, Mentor, OH 44060 | |
| (440) 255-7938 | |
| (440) 255-9196 |
| Full Name | Michael C Peterson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | Lhpg Mentor Family Practice, Mentor, Ohio |
| 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 |
|---|---|---|---|
| 1861542086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50002538 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| Uh Cleveland Medical Center | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Hospital System, Inc. | 6002713922 | 92 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Peterson, PA-C 8655 Market Street, Mentor, OH 44060-9404 Ph: (440) 255-7938 | Michael C Peterson, PA-C Lhpg Mentor Family Practice, 8655 Market Street, Mentor, OH 44060 Ph: (440) 255-7938 |
Alaina Lentz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Ave Ste 210, Mentor, OH 44060 Phone: 440-266-5039 |
Victoria Celeste Radel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8655 Market St Ste 200, Mentor, OH 44060 Phone: 440-255-7938 |
Gwyneth Ellen Markowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave, Mentor, OH 44060 Phone: 440-701-6612 |
Kristi Renea Meenan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7060 Wayside Dr, Mentor, OH 44060 Phone: 440-357-2770 Fax: 440-354-4669 |
Mrs. Adrienne Marie Colabuno, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Ave, Mentor, OH 44060 Phone: 440-205-5716 |
Madisyn Rempe, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7676 Reynolds Rd, Mentor, OH 44060 Phone: 440-496-6133 Fax: 440-283-3010 |
Kelley L. Pastor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9220 Mentor Ave, Mentor, OH 44060 Phone: 440-354-9924 Fax: 877-242-9583 |