| Dr Jon David Peterson, DPM | |
|
49725 County 83, Staples, MN 56479-5280 | |
| (218) 894-1515 | |
| (218) 894-8767 |
| Full Name | Dr Jon David Peterson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 34 Years |
| Location | 49725 County 83, Staples, Minnesota |
| 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 |
|---|---|---|---|
| 1508832676 | NPI | - | NPPES |
| 513 | Other | MN | MN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 513 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakewood Health System | Staples, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakewood Health System | 1052229671 | 90 |
| Provider Name | Lakewood Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
| Provider Name | Swift County-benson Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174529002 PECOS PAC ID: 8729069281 Enrollment ID: O20040528001145 |
| Provider Name | Lakewood Health System |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1295726362 PECOS PAC ID: 1052229671 Enrollment ID: O20070618000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon David Peterson, DPM 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Dr Jon David Peterson, DPM 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Dr. David Conrad Schleichert, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8943 | |
Taylor Daine Heck, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |