Lauren Peterson, LMSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Canaan, Connecticut. Her current practice location is
187 S Canaan Rd, Canaan, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 824-1397.
Lauren Peterson is licensed to practice in Connecticut (license number 4680) 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 1912596511.
Healthcare Provider's Profile
Full Name | Lauren Peterson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 187 S Canaan Rd, Canaan, Connecticut |
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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: 1912596511
- Provider Enumeration Date: 01/18/2021
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618328659
- Enrollment ID: I20240104000258
Medical Identifiers
Medical identifiers for Lauren Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912596511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001354 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 4680 (Connecticut) | 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. Lauren Peterson allows following entities to bill medicare on her behalf.
Entity Name | The Neurovation Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932537297 PECOS PAC ID: 2961762000 Enrollment ID: O20180209000123 |
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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. Lauren 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 |
Lauren Peterson, LMSW, LADC 187 S Canaan Rd, Canaan, CT 06018-2544 Ph: (860) 824-1397 | Lauren Peterson, LMSW, LADC 187 S Canaan Rd, Canaan, CT 06018-2544 Ph: (860) 824-1397 |
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