Ryan Peterson, LPCC in Minneapolis, MN - Medicare Counselor Provider

Ryan Peterson, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Minneapolis, Minnesota. His current practice location is 3802a Grand Ave S, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 643-1932.

Ryan Peterson is licensed to practice in Minnesota (license number 2327) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124650395.

Contact Information

	Ryan Peterson, LPCC
	3802a Grand Ave S, Minneapolis, MN 55409-1233
	(612) 643-1932
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Peterson
Gender	Male
Speciality	Counselor - Mental Health
Location	3802a Grand Ave S, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124650395
Provider Enumeration Date: 02/06/2020
Last Update Date: 02/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7113365446
Enrollment ID: I20240405002078

Medical Identifiers

Medical identifiers for Ryan Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124650395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2327 (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. Ryan Peterson allows following entities to bill medicare on his behalf.

Entity Name	Oliver Ross Psychology And Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689030231 PECOS PAC ID: 0244538064 Enrollment ID: O20160412001527

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. Ryan 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
Ryan Peterson, LPCC 3802a Grand Ave S, Minneapolis, MN 55409-1233 Ph: () -	Ryan Peterson, LPCC 3802a Grand Ave S, Minneapolis, MN 55409-1233 Ph: (612) 643-1932

Reviews and Comments

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Ryan Peterson, LPCC - Medicare Counselor in Minneapolis, MN