Andrea Dawn Peterson, LCSW in Springfield, IL - Medicare Social Worker Provider

Andrea Dawn Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Illinois. Her current practice location is 520 N 4th St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-8000.

Andrea Dawn Peterson is licensed to practice in Illinois (license number 149022399) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316559529.

Contact Information

	Andrea Dawn Peterson, LCSW
	520 N 4th St, Springfield, IL 62702-5238
	(217) 545-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Dawn Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	520 N 4th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316559529
Provider Enumeration Date: 08/19/2020
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 6709297013
Enrollment ID: I20201117002685

Medical Identifiers

Medical identifiers for Andrea Dawn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316559529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.022399 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	149022399 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea Dawn Peterson allows following entities to bill medicare on her behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

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. Andrea Dawn Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea Dawn Peterson, LCSW 201 E Madison St, Springfield, IL 62702-5131 Ph: (217) 545-3787	Andrea Dawn Peterson, LCSW 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 545-8000

Reviews and Comments

Social Worker in Springfield, IL

Sophie R Horner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 S 7th St, Springfield, IL 62703 Phone: 217-679-5379 Fax: 217-679-5349
Mrs. Amanda B Henson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 S 5th St, Springfield, IL 62703 Phone: 217-544-3143
Mrs. Jami Lynn Jamieson, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 215 S Grand Ave West, Springfield, IL 62704 Phone: 217-744-3525 Fax: 217-744-3535
Christina Margaret White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Springcreek Dr, Springfield, IL 62702 Phone: 217-801-3990
Mr. David Stanley Brown, M.A.., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 W White Oaks Dr, Springfield, IL 62704 Phone: 217-793-3949 Fax: 217-793-3995
Ms. Bernetta A Andrewin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711 Phone: 217-717-4733 Fax: 217-679-5981
Stacy Renee Lee, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4735

Andrea Dawn Peterson, LCSW - Medicare Clinical Social Worker in Springfield, IL