Benjamin Paul Petersen, is a
Social Worker based in San Francisco, California. Benjamin Paul Petersen is licensed to practice in California (license number ASW93696) and his current practice location is
250 Executive Park Blvd Ste 4900, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 900-9664.
NPI number for Benjamin Paul Petersen is 1689161317 and his current mailing address is 250 Executive Park Blvd Ste 4900, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689161317.
Healthcare Provider's Profile
| Full Name | Benjamin Paul Petersen |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 250 Executive Park Blvd Ste 4900, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689161317
- Provider Enumeration Date: 04/18/2018
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Benjamin Paul Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689161317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 93696 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW93696 (California) | Secondary |
| 104100000X | Social Worker | ASW93696 (California) | Primary |
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. Benjamin Paul Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Paul Petersen,
250 Executive Park Blvd Ste 4900,
San Francisco, CA 94134-3335
Ph: () - | Benjamin Paul Petersen,
250 Executive Park Blvd Ste 4900,
San Francisco, CA 94134-3335
Ph: (415) 900-9664 |
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