Stacey L. Peterson-carmichael

M.D. | Pediatric Pulmonology | Female

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Complete Profile:

Stacey L. Peterson-carmichael basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Stacey L. Peterson-carmichael
Other Name :	Stacey L. Peterson
Credential :	M.D.
Gender :	Female

Business Address:

Stacey L. Peterson-carmichael address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Roc 4270 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-7208
Fax Number :	317-274-3442

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1316152127
NPI Entity Type :	Individual
First Enrolment Date :	14 May, 2007
Last Updated On :	06 May, 2014

Medicare Participation:

Stacey L. Peterson-carmichael participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3971670571
Medicare Enrollment ID :	I20080924000166
Primary Specialty :	Pediatric Medicine
Medical School :	University Of North Carolina At Chapel Hill School Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Stacey L. Peterson-carmichael accepts medicare insurance.

Group Practice Association:

Stacey L. Peterson-carmichael is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stacey L. Peterson-carmichael is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Wake Forest University Health Sciences	4486564952	1942	Medical Ctr Blvd Winston Salem, NC - 271570001 Ph: 3367162734	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey L. Peterson-carmichael are as mentioned. Primary taxonomy code for Stacey L. Peterson-carmichael, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0203X	Pediatrics Pediatric Critical Care Medicine	No	01073456	IN
207LC0200X	Anesthesiology Critical Care Medicine	No	01073456	IN
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	01073456	IN

Legacy Identifiers:

Other legacy medical identifiers of Stacey L. Peterson-carmichael such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
201216170	MEDICAID	IN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-274-1201
Fax Number :	317-278-9905

Business Location:

Patients can refer following map for directions to Stacey L. Peterson-carmichael practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.