Jolyon David Peterson, MD - Family Medicine in Tacoma, WA

Jolyon David Peterson, MD is a Family Medicine physician based in Tacoma, Washington. Jolyon David Peterson is licensed to practice in Washington (license number MD00012819) and his current practice location is 1501 Pacific Ave, Tacoma, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 680-6016.

NPI number for Jolyon David Peterson is 1093773160 and his current mailing address is 1501 Pacific Ave, Tacoma, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093773160.

Contact Information

Jolyon David Peterson, MD
1501 Pacific Ave,
Tacoma, WA 98402-3302
(253) 680-6016
Not Available



Physician's Profile

Full NameJolyon David Peterson
GenderMale
SpecialityFamily Medicine
Location1501 Pacific Ave, Tacoma, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093773160
  • Provider Enumeration Date: 05/01/2006
  • Last Update Date: 03/17/2015

Medical Identifiers

Medical identifiers for Jolyon David Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093773160NPI-NPPES
8288003MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 12819 (Washington)Secondary
207P00000XEmergency Medicine MD00012819 (Washington)Secondary
207Q00000XFamily Medicine MD00012819 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jolyon David Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jolyon David Peterson, MD
1501 Pacific Ave,
Tacoma, WA 98402-3302

Ph: (253) 680-6016
Jolyon David Peterson, MD
1501 Pacific Ave,
Tacoma, WA 98402-3302

Ph: (253) 680-6016

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Family Medicine Doctors in Tacoma, WA

Dr. Kristina Siu Petsas, M.D.
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Phone: 253-596-3300    
Mrs. Anne Garces Laporte, D.O.
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James M Roos, MD
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Loren B Betteridge, MD
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Dr. Thuy-tien V Le, DO
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Medicare: Medicare Enrolled
Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402
Phone: 702-871-8535    Fax: 941-499-0035
Alexander K Lee, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-459-7785    

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