| Brenden Peterson, | |
|
1000 E Tinkham Ave, Ludington, MI 49431-1568 | |
| (231) 845-6291 | |
| Not Available |
| Full Name | Brenden Peterson |
|---|---|
| Gender | Male |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 12 Years |
| Location | 1000 E Tinkham Ave, Ludington, Michigan |
| 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 |
|---|---|---|---|
| 1114319860 | NPI | - | NPPES |
| 1095263920 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101004661 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Partners | 1456430016 | 55 |
| Provider Name | Mercy Health Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenden Peterson, 917 W Cross St Apt 3, Ypsilanti, MI 48197-2758 Ph: (269) 251-0314 | Brenden Peterson, 1000 E Tinkham Ave, Ludington, MI 49431-1568 Ph: (231) 845-6291 |
Mary Claire Fu, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Mrs. Hailey Kristine-mayo Buchner, MS, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 S Rath Ave Ste 102, Ludington, MI 49431 Phone: 231-571-0727 | |
Kaylin Happley, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 | |
Christen Mariah Thompson, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Tinkham Ave, Ludington, MI 49431 Phone: 231-845-6291 | |
Makayla Hutchison, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5656 W Us Highway 10, Ludington, MI 49431 Phone: 231-843-2543 | |
Carrie C Failor, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 E Tinkham Ave, Ludington, MI 49431 Phone: 231-690-5261 |