Mrs Eileen Marie Peterson, MA in Big Lake, MN - Medicare Marriage & Family Therapist Provider

Mrs Eileen Marie Peterson, MA is a medicare enrolled "Marriage & Family Therapist" provider in Big Lake, Minnesota. Her current practice location is 207 Jefferson Blvd, Big Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 367-6080.

Mrs Eileen Marie Peterson is licensed to practice in Minnesota (license number 3566) 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 1922551597.

Contact Information

	Mrs Eileen Marie Peterson, MA
	207 Jefferson Blvd, Big Lake, MN 55309-4667
	(763) 367-6080
	(763) 263-7897

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Eileen Marie Peterson
Gender	Female
Speciality	Marriage & Family Therapist
Location	207 Jefferson Blvd, Big Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922551597
Provider Enumeration Date: 07/29/2016
Last Update Date: 10/04/2018

Medicare PECOS Information:

PECOS PAC ID: 5395184907
Enrollment ID: I20240416001254

Medical Identifiers

Medical identifiers for Mrs Eileen Marie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922551597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	3566 (Minnesota)	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. Mrs Eileen Marie Peterson allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Mrs Eileen Marie 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
Mrs Eileen Marie Peterson, MA 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 Ph: (763) 767-3350	Mrs Eileen Marie Peterson, MA 207 Jefferson Blvd, Big Lake, MN 55309-4667 Ph: (763) 367-6080

Reviews and Comments

Marriage & Family Therapist in Big Lake, MN

Kelly Ann Salzl, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake St S, Big Lake, MN 55309 Phone: 763-263-7896
Joanne Marie Harste, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20083 226th Ave Nw, Big Lake, MN 55309 Phone: 651-353-5453
Daniel Lloyd Miller, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897
Robert D Wark, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897
Jodi Leigh Donnay, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake St S, Big Lake, MN 55309 Phone: 763-263-7896 Fax: 763-263-7897
Jennifer Ann Lawrence, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 Lake Street South #200, Big Lake, MN 55309 Phone: 763-263-7896 Fax: 763-263-7897
Courtney Jessen, MA LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 207 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-367-6080 Fax: 763-263-7897

Mrs Eileen Marie Peterson, MA - Medicare Couples Therapy in Big Lake, MN