| Winston N Petersen, PA-C | |
|
800 Falls Ave, Suite 2, Twin Falls, ID 83301-3366 | |
| (208) 734-6091 | |
| (208) 734-4654 |
| Full Name | Winston N Petersen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 Falls Ave, Twin Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194714717 | NPI | - | NPPES |
| 807969000 | Medicaid | ID | |
| PAG40 | Other | ID | BLUE CROSS OF IDAHO |
| PAG41 | Other | ID | BLUE CROSS OF IDAHO |
| 000010165444 | Other | ID | REGENCE BLUE SHIELD |
| 000010165445 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 000010165446 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 807969002 | Medicaid | ID | |
| PAG39 | Other | ID | BLUE CROSS OF IDAHO |
| 807969001 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 262207-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Winston N Petersen, PA-C 811 N 900 W, Orem, UT 84057-7701 Ph: (801) 434-7600 | Winston N Petersen, PA-C 800 Falls Ave, Suite 2, Twin Falls, ID 83301-3366 Ph: (208) 734-6091 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 | |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 243 Cheney Dr W Ste 200, Twin Falls, ID 83301 Phone: 208-736-7422 | |
Robert J Reeve, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1552 Addison Ave E, Ste A2, Twin Falls, ID 83301 Phone: 208-739-9961 Fax: 208-739-9962 | |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 | |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 | |
Mindy L Brown, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 | |
Abelardo Benitez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 794 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-3312 Fax: 208-734-5036 |