Mr Gordon Wayne Petersen, MSW, LICSW in Burlington, VT - Medicare Clinical Social Worker Provider

Mr Gordon Wayne Petersen, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burlington, Vermont. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 166 Battery St, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 862-3373.

Mr Gordon Wayne Petersen is licensed to practice in Vermont (license number 089-0000142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487746244.

Contact Information

	Mr Gordon Wayne Petersen, MSW, LICSW
	166 Battery St, Burlington, VT 05401-5283
	(802) 862-3373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gordon Wayne Petersen
Gender	Male
Speciality	Clinical Social Worker
Experience	43 Years
Location	166 Battery St, Burlington, Vermont
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Gordon Wayne Petersen graduated from medical school in 1981

NPI Data:

NPI Number: 1487746244
Provider Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062575491
Enrollment ID: I20090112000604

Medical Identifiers

Medical identifiers for Mr Gordon Wayne Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487746244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089-0000142 (Vermont)	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 Gordon Wayne Petersen allows following entities to bill medicare on his behalf.

Entity Name	Workplace Solutions, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720227325 PECOS PAC ID: 2365507365 Enrollment ID: O20090206000346

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 Gordon Wayne 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
Mr Gordon Wayne Petersen, MSW, LICSW 763 North Ave, Burlington, VT 05401-2728 Ph: (802) 862-9067	Mr Gordon Wayne Petersen, MSW, LICSW 166 Battery St, Burlington, VT 05401-5283 Ph: (802) 862-3373

Reviews and Comments

Social Worker in Burlington, VT

Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309
Elaine Soto, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Flynn Ave, Burlington, VT 05401 Phone: 802-488-6300
Jenifer D'aiello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-5331 Fax: 802-847-7765
Kathleen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324

Mr Gordon Wayne Petersen, MSW, LICSW - Medicare Clinical Social Worker in Burlington, VT