Brett Petersen, LMSW in Mesa, AZ - Medicare Social Worker Provider

Brett Petersen, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Mesa, Arizona. His current practice location is 4250 E Florian Ave, Building #1, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 844-1653.

Brett Petersen is licensed to practice in Arizona (license number LMSW15582) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063891638.

Contact Information

	Brett Petersen, LMSW
	4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797
	(480) 844-1653
	(480) 539-4979

Map and Direction

Healthcare Provider's Profile

Full Name	Brett Petersen
Gender	Male
Speciality	Social Worker - Clinical
Location	4250 E Florian Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063891638
Provider Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015

Medicare PECOS Information:

PECOS PAC ID: 0143670760
Enrollment ID: I20231222001411

Medical Identifiers

Medical identifiers for Brett Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063891638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LMSW15582 (Arizona)	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. Brett Petersen allows following entities to bill medicare on his behalf.

Entity Name	Yuma Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526

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. Brett Petersen 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
Brett Petersen, LMSW 924 N Country Club Dr, Building #1, Mesa, AZ 85201-4108 Ph: (480) 969-3800	Brett Petersen, LMSW 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 Ph: (480) 844-1653

Reviews and Comments

Social Worker in Mesa, AZ

Robert Whitney, MSW, ACSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1423 S Higley Rd, Suite 112, Mesa, AZ 85206 Phone: 480-654-0992 Fax: 480-325-5444
Ms. Teri Virginia Krull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 S Alma School Rd, 110, Mesa, AZ 85210 Phone: 480-917-7792
Kelly Lalan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1921 S Alma School Rd, Mesa, AZ 85210 Phone: 480-466-2428
Stacy Underwood, NP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202 Phone: 480-820-0825
Ms. Barbara Johnson Bryant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 N Stapley Dr, 2021, Mesa, AZ 85203 Phone: 219-730-9244
Lisa Marie Edin Browning, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6344 E Broadway Rd, Suite 104, Mesa, AZ 85206 Phone: 480-703-7950
Allison Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3048 E Baseline Rd Ste 107, Mesa, AZ 85204 Phone: 480-482-1838

Brett Petersen, LMSW - Medicare Clinical Social Worker in Mesa, AZ