Grazyna Gabriela Petersen, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Lisle, Illinois. She graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Contemporary Wellness, Llc and her current practice location is
4300 Commerce Ct Ste 300-3, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 739-0992.
Grazyna Gabriela Petersen is licensed to practice in Illinois (license number 149.021092) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457814360.
Healthcare Provider's Profile
| Full Name | Grazyna Gabriela Petersen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 4300 Commerce Ct Ste 300-3, Lisle, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Grazyna Gabriela Petersen graduated from medical school in 2016
NPI Data:
- NPI Number: 1457814360
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749611341
- Enrollment ID: I20200515000058
Medical Identifiers
Medical identifiers for Grazyna Gabriela Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457814360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 33287 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.021092 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Contemporary Wellness, Llc | 9830520436 | 2 |
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. Grazyna Gabriela Petersen allows following entities to bill medicare on her behalf.
| Entity Name | Contemporary Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326675760
PECOS PAC ID: 9830520436
Enrollment ID: O20200515000047 |
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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. Grazyna Gabriela 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 |
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Grazyna Gabriela Petersen, LCSW, CADC
4300 Commerce Ct Ste 300-3,
Lisle, IL 60532-3709
Ph: (773) 739-0992 | Grazyna Gabriela Petersen, LCSW, CADC
4300 Commerce Ct Ste 300-3,
Lisle, IL 60532-3709
Ph: (773) 739-0992 |
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