Andrew J Petersen (NPI# 1316346307, PAC ID# 8123247129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316346307 |
| PAC ID by PECOS | 8123247129 |
| Professional Enrollment ID | I20151215000810 |
| Full Name | Andrew J Petersen |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| Address |
1015 Marsh St Mankato MN 56001-4752 |
| Phone Number | 5073894700 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688585771 |
| Number of Group Practice Members | 479 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240093 | MAYO CLINIC HEALTH SYSTEM - MANKATO |
| 241333 | MAYO CLINIC HEALTH SYSTEM - ST JAMES |
| 240166 | MAYO CLINIC HEALTH SYSTEM - FAIRMONT |
| 241352 | MAYO CLINIC HEALTH SYSTEM-SPRINGFIELD |
| 241345 | MAYO CLINIC HEALTH SYSTEM - WASECA |
| Address | Phone | Organization |
|---|---|---|
| 1015 Marsh St, Mankato, MN 56001-4752 | 5073894700 | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| 1025 Marsh St, Mankato, MN 56001-4752 | 5076254031 | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilun D Li | Gastroenterology | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Merissa Anne Ferraro | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1025 Marsh St, Mankato, MN 56001-4752 |
| Nicole I Williams | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1025 Marsh St, Mankato, MN 56001-4752 |
| Michael R Gartner | Emergency Medicine | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Ryan Baldeo | Physician Assistant | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Heidi L Hermel | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Emran Mohammad | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Rebekah A Elledge | Speech Language Pathologist | Mayo Clinic Health System-southwest Minnesota Region | 1400 Madison Ave, Suite 100aa, Mankato, MN 56001-5465 |
| Lisa Marie Brown | Certified Nurse Midwife | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Ahsley M Paul | Physical Therapy | Mayo Clinic Health System-southwest Minnesota Region | 1025 Marsh St, Mankato, MN 56001-4752 |
| Street Address |
1015 MARSH ST |
| City | MANKATO |
| State | MN |
| Zip | 56001-4752 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilun D Li | Gastroenterology | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Michael R Gartner | Emergency Medicine | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Ryan Baldeo | Physician Assistant | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Heidi L Hermel | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Emran Mohammad | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Lisa Marie Brown | Certified Nurse Midwife | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Robert Morris | General Surgery | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Kathleen E Reimer | Registered Dietitian Or Nutrition Professional | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Kristina R Carlson | Nurse Practitioner | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Brian N Bartlett | Emergency Medicine | Mayo Clinic Health System-southwest Minnesota Region | 1015 Marsh St, Mankato, MN 56001-4752 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica J Schugel | Chiropractic | 816 A S Front St, Mankato, MN 56001-2401 | |
| Paula E Prybylla | Chiropractic | 800 S Front St, Mankato, MN 56001-2401 | |
| Debbie L Carstens | Certified Clinical Nurse Specialist (cns) | 1008 S Front St, Mankato, MN 56001-2405 | |
| Darren J Tungsvik | Clinical Social Worker | Wisconsin Lutheran Child and Family Service Inc | 421 E Hickory St, Suite 402, Mankato, MN 56001-2637 |
| Bryce D Anderson | Chiropractic | 500 S Broad St, Suite 102, Mankato, MN 56001-2692 | |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Thomas J Brennan | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Katherine A Anderson | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Malati V Pamulapati | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Karie M Soost | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Find all physicians in zip 56001 | |||
| City | MANKATO |
| Zip Code | 56001 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANKATO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Andrew J Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.