Pamela Peterson, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Duluth, Minnesota. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is
332 W Superior St Ste 300, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 722-4379.
Pamela Peterson is licensed to practice in Minnesota (license number 304004) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700330503.
Healthcare Provider's Profile
Full Name | Pamela Peterson |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 8 Years |
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Location | 332 W Superior St Ste 300, Duluth, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Pamela Peterson graduated from medical school in 2017
NPI Data:
- NPI Number: 1700330503
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416364500
- Enrollment ID: I20210408001112
Medical Identifiers
Medical identifiers for Pamela Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700330503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 26251 (Minnesota) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304004 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Nystrom And Associates Ltd | 6406752492 | 381 |
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. Pamela Peterson allows following entities to bill medicare on her behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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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. Pamela 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 |
Pamela Peterson, 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1718 | Pamela Peterson, 332 W Superior St Ste 300, Duluth, MN 55802 Ph: (218) 722-4379 |
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