| Tyler Peterson Do Inc | |
|
2229 Barton Ave South Lake Tahoe CA 96150-3411 | |
| (530) 539-4781 | |
| (530) 238-6403 |
| Full Name | Tyler Peterson Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2229 Barton Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Tyler Peterson (MD/OWNER) |
| Authorized Official Contact | 2816025959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Peterson Do Inc 2229 Barton Ave South Lake Tahoe CA 96150-3411 Ph: () - | Tyler Peterson Do Inc 2229 Barton Ave South Lake Tahoe CA 96150-3411 Ph: (530) 539-4781 |
| NPI Number | 1437938297 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 4284081530 |
|---|---|
| Medicare Enrollment ID | O20231108003443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437938297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Tyler Alan Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800243 PECOS PAC ID: 9638464597 Enrollment ID: I20201104000184 |
Abby Cohen Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 South Ave, Suite B, South Lake Tahoe, CA 96150 Phone: 530-541-3286 Fax: 530-541-2005 | |
Barton Healthcare System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Barton Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, Ste 1, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Henning Mehrens, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-3277 Fax: 530-541-6913 | |
El Dorado County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Johnson Blvd, Suite 103, South Lake Tahoe, CA 96150 Phone: 530-573-3156 | |
Barton Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 |