Teresa Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Seminole, Oklahoma. Her current practice location is
2010 Boren Blvd, Seminole, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 382-4507.
Teresa Peterson is licensed to practice in Oklahoma (license number 6730) 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 1780237602.
Healthcare Provider's Profile
Full Name | Teresa Peterson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2010 Boren Blvd, Seminole, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780237602
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325402753
- Enrollment ID: I20230918003007
Medical Identifiers
Medical identifiers for Teresa Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780237602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6730 (Oklahoma) | 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. Teresa Peterson allows following entities to bill medicare on her behalf.
Entity Name | Millennium Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
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Entity Name | Lighthouse Behavioral Wellness Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653 |
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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. Teresa 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 |
Teresa Peterson, LCSW Po Box 1845, Seminole, OK 74818-1845 Ph: (405) 382-4507 | Teresa Peterson, LCSW 2010 Boren Blvd, Seminole, OK 74868-2050 Ph: (405) 382-4507 |
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