Corby J Petersen, LCSW in Eagle River, AK - Medicare Social Worker Provider

Corby J Petersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eagle River, Alaska. His current practice location is 13135 Old Glenn Hwy, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 632-3403.

Corby J Petersen is licensed to practice in Alaska (license number 499) 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 1225089840.

Contact Information

	Corby J Petersen, LCSW
	13135 Old Glenn Hwy, Eagle River, AK 99577-7562
	(907) 632-3403
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corby J Petersen
Gender	Male
Speciality	Social Worker - Clinical
Location	13135 Old Glenn Hwy, Eagle River, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225089840
Provider Enumeration Date: 05/16/2006
Last Update Date: 02/09/2010

Medicare PECOS Information:

PECOS PAC ID: 2668489535
Enrollment ID: I20060317000185

Medical Identifiers

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

Identifier	Type	State	Issuer
1225089840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	499 (Alaska)	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. Corby J Petersen allows following entities to bill medicare on his behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

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. Corby J 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
Corby J Petersen, LCSW Po Box 770925, Eagle River, AK 99577-0925 Ph: (907) 632-3403	Corby J Petersen, LCSW 13135 Old Glenn Hwy, Eagle River, AK 99577-7562 Ph: (907) 632-3403

Reviews and Comments

Social Worker in Eagle River, AK

Ms. Sheila Mary Burke, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10928 Eagle River Rd Ste 108, Eagle River, AK 99577 Phone: 907-350-1323
Stefanie Lynn Summers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10421 Vfw Road, Suite 201, Eagle River, AK 99577 Phone: 907-841-2291
Robin Wolffe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17045 Coronado Rd, Eagle River, AK 99577 Phone: 907-696-5656
Eric M Unruh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17105 Park Place St, Eagle River, AK 99577 Phone: 907-622-1002 Fax: 907-622-8808
Alan Becker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20611 David Ave, 11723 Old Glenn Hwy, Eagle River, AK 99577 Phone: 907-244-2102
Alexandra Kay Draper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8815 Dome Cir, Eagle River, AK 99577 Phone: 206-249-1145

Corby J Petersen, LCSW - Medicare Clinical Social Worker in Eagle River, AK