Mrs Heather Louise Petersen, LCSW in Wake Forest, NC

Mrs Heather Louise Petersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wake Forest, North Carolina. Her current practice location is 1020 Waterline Dr, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (858) 740-8337.

Mrs Heather Louise Petersen is licensed to practice in North Carolina (license number C016357) 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 1912533258.

Contact Information

	Mrs Heather Louise Petersen, LCSW
	1020 Waterline Dr, Wake Forest, NC 27587-7735
	(858) 740-8337
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Heather Louise Petersen
Gender	Female
Speciality	Social Worker - Clinical
Location	1020 Waterline Dr, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912533258
Provider Enumeration Date: 03/18/2020
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0941640957
Enrollment ID: I20240424002160

Medical Identifiers

Medical identifiers for Mrs Heather Louise Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912533258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25866 (California)	Secondary
1041C0700X	Social Worker - Clinical	C016357 (North Carolina)	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. Mrs Heather Louise Petersen allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Mrs Heather Louise 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
Mrs Heather Louise Petersen, LCSW 1020 Waterline Dr, Wake Forest, NC 27587-7735 Ph: (858) 740-8337	Mrs Heather Louise Petersen, LCSW 1020 Waterline Dr, Wake Forest, NC 27587-7735 Ph: (858) 740-8337

Reviews and Comments

Social Worker in Wake Forest, NC

Tracee Gregory, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587 Phone: 919-554-1231 Fax: 919-554-2406
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026
Hilary Leath Norris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 Forest Rd, Wake Forest, NC 27587 Phone: 919-608-4096
Kimberly L Konderla, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd, Wake Forest, NC 27587 Phone: 919-263-9592

Mrs Heather Louise Petersen, LCSW - Medicare Clinical Social Worker in Wake Forest, NC