| Wendy Peterson, PA | |
|
1730 Haines Ave, Rapid City, SD 57701-0615 | |
| (605) 721-4934 | |
| (605) 791-7704 |
| Full Name | Wendy Peterson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1730 Haines Ave, Rapid City, South Dakota |
| 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 |
|---|---|---|---|
| 1891786166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3581 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 2991 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | 1004 (South Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fusion Md Pllc | 0042506701 | 6 |
| Entity Name | Board of Regents of the University of Oklahoma - OU Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Mercy Hospital Logan County, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306126818 PECOS PAC ID: 4587836200 Enrollment ID: O20121004000289 |
| Entity Name | Fusion MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770936452 PECOS PAC ID: 0042506701 Enrollment ID: O20160906001343 |
| Entity Name | OU Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Peterson, PA Po Box 817, Rapid City, SD 57709-0817 Ph: (605) 721-4934 | Wendy Peterson, PA 1730 Haines Ave, Rapid City, SD 57701-0615 Ph: (605) 721-4934 |
Mrs. Karen Kay Zepp, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 717 Meade St, Suite 100, Rapid City, SD 57701 Phone: 605-341-5910 Fax: 605-341-9052 |
Emma Koetter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 513-575-6547 |
Mr. Robert Vandeventer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 408 Knollwood Drive, Rapid City, SD 57701 Phone: 605-755-2273 |
Michelle L Wasson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-718-3300 Fax: 605-718-3426 |
Angela M Okroi, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28 Medical Group, 2900 Doolittle Dr Ellsworth Afb Sd, Rapid City, SD 57702 Phone: 605-385-3147 |
Heather Noelle Rice, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7220 S Highway 16, Rapid City, SD 57702 Phone: 605-341-1414 Fax: 605-341-7062 |
Jarrett James Fowler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 |