Sandra Luann Peterson, LICSW in Thief River Falls, MN

Sandra Luann Peterson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Thief River Falls, Minnesota. Her current practice location is 120 Labree Ave S, Northwest Medical Center, Thief River Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 681-4240.

Sandra Luann Peterson is licensed to practice in Minnesota (license number 4847) 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 1053307025.

Contact Information

	Sandra Luann Peterson, LICSW
	120 Labree Ave S, Northwest Medical Center, Thief River Falls, MN 56701-2819
	(218) 681-4240
	(218) 681-5614

Map and Direction

Healthcare Provider's Profile

Full Name	Sandra Luann Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	120 Labree Ave S, Thief River Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053307025
Provider Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729019450
Enrollment ID: I20050823000495

Medical Identifiers

Medical identifiers for Sandra Luann Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053307025	NPI	-	NPPES
09493300	Medicaid	MN
336L2PE	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4847 (Minnesota)	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. Sandra Luann Peterson allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Network North
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872

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. Sandra Luann 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
Sandra Luann Peterson, LICSW 21078 115th Ave Ne, Thief River Falls, MN 56701-9313 Ph: (218) 681-3658	Sandra Luann Peterson, LICSW 120 Labree Ave S, Northwest Medical Center, Thief River Falls, MN 56701-2819 Ph: (218) 681-4240

Reviews and Comments

Social Worker in Thief River Falls, MN

Anna M Barth, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2684
Terrence Robert Demars, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-681-4240 Fax: 218-683-4512
Stacy M. Englund, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1571 Highway 59 S Ste 2, Thief River Falls, MN 56701 Phone: 218-416-2682
Jennifer Ann Manning, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351
Sherry Kay Jose, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave South, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362
Brittney Leigh Bimler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4338 Fax: 218-683-4551

Sandra Luann Peterson, LICSW - Medicare Clinical Social Worker in Thief River Falls, MN