James Peterson, is a
Social Worker - Clinical based in Burlington, Wisconsin. James Peterson is licensed to practice in Wisconsin (license number 4101) and his current practice location is
152 E State St, Burlington, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 763-8183.
NPI number for James Peterson is 1245353770 and his current mailing address is 152 E State St, Burlington, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245353770.
Healthcare Provider's Profile
| Full Name | James Peterson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 152 E State St, Burlington, Wisconsin |
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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: 1245353770
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for James Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245353770 | NPI | - | NPPES |
| 10908200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2095 (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 1610 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 4101 (Wisconsin) | 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. James Peterson 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 |
|---|
James Peterson,
152 E State St,
Burlington, WI 53105-1940
Ph: (262) 763-8183 | James Peterson,
152 E State St,
Burlington, WI 53105-1940
Ph: (262) 763-8183 |
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