Tammy Marie Peterson, MA, LADC, LPCC in Hugo, MN

Tammy Marie Peterson, MA, LADC, LPCC is a medicare enrolled "Counselor - Professional" provider in Hugo, Minnesota. Her current practice location is 4638 Victor Path Ste 900, Hugo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 364-3839.

Tammy Marie Peterson is licensed to practice in Minnesota (license number CC03846) 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 1174272553.

Contact Information

	Tammy Marie Peterson, MA, LADC, LPCC
	4638 Victor Path Ste 900, Hugo, MN 55038-4732
	(651) 364-3839
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammy Marie Peterson
Gender	Female
Speciality	Counselor - Professional
Location	4638 Victor Path Ste 900, Hugo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174272553
Provider Enumeration Date: 03/22/2022
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527418011
Enrollment ID: I20231226000491

Medical Identifiers

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

Identifier	Type	State	Issuer
1174272553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC03846 (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. Tammy 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. Tammy 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
Tammy Marie Peterson, MA, LADC, LPCC 27860 Lacy Ave, Chisago City, MN 55013 Ph: (651) 410-8912	Tammy Marie Peterson, MA, LADC, LPCC 4638 Victor Path Ste 900, Hugo, MN 55038-4732 Ph: (651) 364-3839

Reviews and Comments

Counselor in Hugo, MN

Melissa Traxler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839
Jordan Leigh Achartz, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 14623 Victor Hugo Blvd N Unit 1, Hugo, MN 55038 Phone: 608-386-2312
Mrs. Emily Conery, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839
Amy Gerlach, MS Counselor Medicare: Medicare Enrolled Practice Location: 4638 Victor Path North, Suite 900, Hugo, MN 55038 Phone: 651-364-3839 Fax: 651-364-3840
Mrs. Kaylie Mae Willprecht, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839
Adeline Sampson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839 Fax: 651-364-3840

Tammy Marie Peterson, MA, LADC, LPCC - Medicare Counselor in Hugo, MN