Stephanie Petersen, in Jefferson City, MO - Medicare Social Worker Provider

Stephanie Petersen, is a medicare enrolled "Social Worker - Clinical" provider in Jefferson City, Missouri. Her current practice location is 5723 Bridlespur Ln, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (248) 761-5359.

Stephanie Petersen is licensed to practice in * (Not Available) (license number ) 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 1639705676.

Contact Information

	Stephanie Petersen,
	5723 Bridlespur Ln, Jefferson City, MO 65109-5372
	(248) 761-5359
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Petersen
Gender	Female
Speciality	Social Worker - Clinical
Location	5723 Bridlespur Ln, Jefferson City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639705676
Provider Enumeration Date: 03/22/2020
Last Update Date: 11/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7618317652
Enrollment ID: I20240424003255

Medical Identifiers

Medical identifiers for Stephanie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639705676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Stephanie Petersen allows following entities to bill medicare on her behalf.

Entity Name	Talkspace Provider Network Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240321002892

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. Stephanie 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
Stephanie Petersen, 5723 Bridlespur Ln, Jefferson City, MO 65109-5372 Ph: (248) 761-5359	Stephanie Petersen, 5723 Bridlespur Ln, Jefferson City, MO 65109-5372 Ph: (248) 761-5359

Reviews and Comments

Social Worker in Jefferson City, MO

Kayle Streb, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 844-853-8937
Eric Thomas Lybeck-brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Oscar Dr, Suite A, Jefferson City, MO 65101 Phone: 573-635-8299 Fax: 573-635-4629
Ms. Jennie M Harvat, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071
Eileen Long, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 Southwest Blvd, Ste. F, Jefferson City, MO 65109 Phone: 573-424-1108
Prof. Deborah Word, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 909 Missouri Blvd, Suite F, Jefferson City, MO 65109 Phone: 573-584-0158 Fax: 573-584-0159
Rodnesha Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 844-853-8937
Mr. Kenneth Mark Skouby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515a East Mccarty, Jefferson City, MO 65101 Phone: 573-635-2254 Fax: 573-634-2221

Stephanie Petersen, - Medicare Clinical Social Worker in Jefferson City, MO