| Mr Lauren L Peterson Jr, CRNA | |
|
7764 Forest Creek Ct, Maumee, OH 43537-9140 | |
| (419) 690-7652 | |
| (419) 697-7726 |
| Full Name | Mr Lauren L Peterson Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 7764 Forest Creek Ct, Maumee, 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 |
|---|---|---|---|
| 1669490140 | NPI | - | NPPES |
| 04097A | Other | OH | PHC |
| 000000519766 | Other | OH | ANTHEM |
| 341881145-003 | Other | OH | MMO |
| 000000389988 | Other | OH | ANTHEM |
| P00439234 | Other | OH | RRMC |
| 5182102 | Medicaid | MI | |
| 2150569 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA04744 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN255183 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lauren L Peterson Jr, CRNA 7764 Forest Creek Ct, Maumee, OH 43537-9140 Ph: (419) 868-8329 | Mr Lauren L Peterson Jr, CRNA 7764 Forest Creek Ct, Maumee, OH 43537-9140 Ph: (419) 690-7652 |
Gwendolyn Leigh Colyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
James C. Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Marcia K Carroll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
William Albert Schwartz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Joanne Elaine Rush, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 | |
Mary M. Turnbell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-897-8370 |