| Tonja S Petersen - Anderson, ARNP | |
|
1351 W Main St, Lake City, IA 51449-1585 | |
| (712) 464-7907 | |
| (712) 464-7412 |
| Full Name | Tonja S Petersen - Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 1351 W Main St, Lake City, Iowa |
| 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 |
|---|---|---|---|
| 1487626719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A097418 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint At Home | Storm lake, IA | Home health agency |
| Stewart Memorial Community Hospital | Lake city, IA | Hospital |
| Pocahontas Community Hospital | Pocahontas, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Humboldt County Memorial Hospital | Humboldt, IA | Hospital |
| Spencer Municipal Hospital | Spencer, IA | Hospital |
| Accura Healthcare Of Pomeroy, Llc | Pomeroy, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stewart Memorial Community Hospital | 4486563707 | 36 |
| Entity Name | Stewart Memorial Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285652909 PECOS PAC ID: 4486563707 Enrollment ID: O20031107000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonja S Petersen - Anderson, ARNP 1351 W Main St, Po Box 114, Lake City, IA 51449-1585 Ph: (712) 464-7907 | Tonja S Petersen - Anderson, ARNP 1351 W Main St, Lake City, IA 51449-1585 Ph: (712) 464-7907 |
Larry D Lieb, CRNA ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 W Main St, Lake City, IA 51449 Phone: 712-464-3171 Fax: 712-464-7412 |