Ms Melody R Peterson, LAC is a
Case Manager/care Coordinator based in Fargo, North Dakota. Ms Melody R Peterson is licensed to practice in North Dakota (license number ) and her current practice location is
2624 9th Ave S, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 298-4500.
NPI number for Ms Melody R Peterson is 1255348504 and her current mailing address is 2624 9th Ave S, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255348504.
Healthcare Provider's Profile
| Full Name | Ms Melody R Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2624 9th Ave S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255348504
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Melody R Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255348504 | NPI | - | NPPES |
| 009179 | Other | NC | BSBS OF ND PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1269 (North Dakota) | Primary |
| 171M00000X | Case Manager/care Coordinator | (North Dakota) | 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. Ms Melody R 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 |
|---|
Ms Melody R Peterson, LAC
2624 9th Ave S,
Fargo, ND 58103-2350
Ph: (701) 298-4500 | Ms Melody R Peterson, LAC
2624 9th Ave S,
Fargo, ND 58103-2350
Ph: (701) 298-4500 |
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