Kimberly Dianne Peterson, LISW - Medicare Clinical Social Worker in Des Moines, IA

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Kimberly Dianne Peterson, LISW is a medicare enrolled "Social Worker - Clinical" provider in Des Moines, Iowa. Her current practice location is 6601 Sw 9th St Ste 2, Des Moines, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 643-9030.

Kimberly Dianne Peterson is licensed to practice in Iowa (license number 06171) 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 1407384233.

Contact Information

Kimberly Dianne Peterson, LISW
6601 Sw 9th St Ste 2,
Des Moines, IA 50315-6138
(515) 643-9030
(515) 643-9031

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Dianne Peterson
GenderFemale
SpecialitySocial Worker - Clinical
Location6601 Sw 9th St Ste 2, Des Moines, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407384233
  • Provider Enumeration Date: 05/24/2017
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769858265
  • Enrollment ID: I20221025002947

Medical Identifiers

Medical identifiers for Kimberly Dianne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407384233NPI-NPPES
1982657490MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 06171 (Iowa)Primary
104100000XSocial Worker 06171 (Iowa)Secondary

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. Kimberly Dianne Peterson allows following entities to bill medicare on her behalf.
Entity NameMercy Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457691941
PECOS PAC ID: 7911810882
Enrollment ID: O20031112000238

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. Kimberly Dianne 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 AddressPractice Location Address
Kimberly Dianne Peterson, LISW
Po Box 1475,
Des Moines, IA 50305-1475

Ph: (515) 643-9030		Kimberly Dianne Peterson, LISW
6601 Sw 9th St Ste 2,
Des Moines, IA 50315-6138

Ph: (515) 643-9030

Reviews and Comments


Social Worker in Des Moines, IA

Martha Diaz,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 808 5th Ave, Des Moines, IA 50309
Phone: 515-244-2267    
Gladys Noll Alvarez, L.I.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 808 5th Ave, Des Moines, IA 50309
Phone: 515-244-2267    
Angie Appelgate,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 808 5th Ave, Des Moines, IA 50309
Phone: 515-244-2267    
Janelle Kamba,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Ingersoll Ave Ste E, Des Moines, IA 50312
Phone: 515-729-2019    
Rachel Nicole Ukena, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3600 30th St, Des Moines, IA 50310
Phone: 515-699-5999    
Jillian Lake,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 808 5th Ave, Des Moines, IA 50309
Phone: 515-244-2267    
Jennifer Lynn Roberts, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2708 Grand Ave, Des Moines, IA 50312
Phone: 515-778-4592    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.