Cori Christina Boehm-peterson, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Richfield, Minnesota. Her current practice location is
6636 Cedar Ave S Ste 360, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 998-8934.
Cori Christina Boehm-peterson is licensed to practice in Minnesota (license number 14296) 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 1376856518.
Healthcare Provider's Profile
Full Name | Cori Christina Boehm-peterson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6636 Cedar Ave S Ste 360, Richfield, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376856518
- Provider Enumeration Date: 07/16/2010
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981937760
- Enrollment ID: I20190611000016
Medical Identifiers
Medical identifiers for Cori Christina Boehm-peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376856518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 14296 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | 14296 (Minnesota) | 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. Cori Christina Boehm-peterson allows following entities to bill medicare on her behalf.
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
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Entity Name | Affinity Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
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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. Cori Christina Boehm-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 |
Cori Christina Boehm-peterson, LICSW 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 | Cori Christina Boehm-peterson, LICSW 6636 Cedar Ave S Ste 360, Richfield, MN 55423-2712 Ph: (612) 998-8934 |
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