Susan R Peterson, in Mora, MN - Medicare Social Worker Provider

Susan R Peterson, is a medicare enrolled "Social Worker - Clinical" provider in Mora, Minnesota. Her current practice location is 2031 Rowland Rd, Mora, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 364-1300.

Susan R Peterson is licensed to practice in Minnesota (license number 22013) 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 1679113823.

Contact Information

	Susan R Peterson,
	2031 Rowland Rd, Mora, MN 55051-7119
	(320) 364-1300
	(320) 323-2558

Map and Direction

Healthcare Provider's Profile

Full Name	Susan R Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	2031 Rowland Rd, Mora, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679113823
Provider Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2365814910
Enrollment ID: I20230208003048

Medical Identifiers

Medical identifiers for Susan R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679113823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22013 (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. Susan R Peterson allows following entities to bill medicare on her behalf.

Entity Name	Introspect Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184273666 PECOS PAC ID: 9931502796 Enrollment ID: O20210730002128

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. Susan R 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
Susan R Peterson, 2031 Rowland Rd, Mora, MN 55051-7119 Ph: (320) 364-1300	Susan R Peterson, 2031 Rowland Rd, Mora, MN 55051-7119 Ph: (320) 364-1300

Reviews and Comments

Social Worker in Mora, MN

Danielle Gilbertson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3577
Melissa Handt, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 320-364-1300
Joshua Larsen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Pine St N, Mora, MN 55051 Phone: 320-679-6964
Jennifer Lynn Peterson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3579 Fax: 320-225-3533
Sara Renee Kennedy, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Union St S Ste 3, Mora, MN 55051 Phone: 651-448-2322
Haley Hemmerich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-335-3576

Susan R Peterson, - Medicare Clinical Social Worker in Mora, MN