Mr Clayton Richard Peterson, LCSW in Elkhorn, WI - Medicare Social Worker Provider

Mr Clayton Richard Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Elkhorn, Wisconsin. His current practice location is 1910 County Road Nn, Elkhorn, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 741-3200.

Mr Clayton Richard Peterson is licensed to practice in Wisconsin (license number 9722-123) 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 1912662008.

Contact Information

	Mr Clayton Richard Peterson, LCSW
	1910 County Road Nn, Elkhorn, WI 53121-4454
	(262) 741-3200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clayton Richard Peterson
Gender	Male
Speciality	Social Worker - Clinical
Location	1910 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912662008
Provider Enumeration Date: 11/03/2021
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6002205754
Enrollment ID: I20211118000061

Medical Identifiers

Medical identifiers for Mr Clayton Richard Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912662008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9722-123 (Wisconsin)	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. Mr Clayton Richard Peterson allows following entities to bill medicare on his behalf.

Entity Name	County Of Walworth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588733307 PECOS PAC ID: 6002872835 Enrollment ID: O20041203000437

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. Mr Clayton Richard 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
Mr Clayton Richard Peterson, LCSW Po Box 1005, Elkhorn, WI 53121-1005 Ph: (262) 741-3200	Mr Clayton Richard Peterson, LCSW 1910 County Road Nn, Elkhorn, WI 53121-4454 Ph: (262) 741-3200

Reviews and Comments

Social Worker in Elkhorn, WI

Ashley Lynch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 Westlawn Ave, Elkhorn, WI 53121 Phone: 414-507-6186
Liza Jayne Drake, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3315
Kristi L Reynolds, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217
Cassandra Abel, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424
Jessica Christine Doherty, MSW, LCSW, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 W Hidden Trl Apt 101, Elkhorn, WI 53121 Phone: 847-693-6942
Nicole E Heinrich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200
Mr. Lee Joel Christensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200

Mr Clayton Richard Peterson, LCSW - Medicare Clinical Social Worker in Elkhorn, WI