| Timothy Warren Peterson, PA-C | |
|
605 Man O War Boulevard, Union, KY 41091-2007 | |
| (859) 578-5669 | |
| (859) 384-0091 |
| Full Name | Timothy Warren Peterson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 605 Man O War Boulevard, Union, Kentucky |
| 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 |
|---|---|---|---|
| 1720388218 | NPI | - | NPPES |
| 7100252800 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1799 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - West Hospital | Cincinnati, OH | Hospital |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Urgent Care Llc | 6406232230 | 54 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Warren Peterson, PA-C Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 903-0268 | Timothy Warren Peterson, PA-C 605 Man O War Boulevard, Union, KY 41091-2007 Ph: (859) 578-5669 |
Taylor Malkemus, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1032 Dustwhirl Dr, Union, KY 41091 Phone: 859-444-7671 | |
Jared J Patton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 Man O War Boulevard, Union, KY 41091 Phone: 859-578-5669 Fax: 859-384-0091 | |
Christi L Strole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 Man O War Boulevard, Union, KY 41091 Phone: 859-578-5669 Fax: 859-384-0091 |