Bethany Peterson, in Fargo, ND - Medicare Marriage & Family Therapist Provider

Bethany Peterson, is a medicare enrolled "Marriage & Family Therapist" provider in Fargo, North Dakota. Her current practice location is 1201 25th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 451-4900.

Bethany Peterson is licensed to practice in North Dakota (license number 2018-063) 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 1497203988.

Contact Information

	Bethany Peterson,
	1201 25th St S, Fargo, ND 58103-2311
	(701) 451-4900
	(651) 925-0057

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Peterson
Gender	Female
Speciality	Marriage & Family Therapist
Location	1201 25th St S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497203988
Provider Enumeration Date: 09/14/2016
Last Update Date: 02/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2062864762
Enrollment ID: I20240118001563

Medical Identifiers

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

Identifier	Type	State	Issuer
1497203988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2013-015A (North Dakota)	Secondary
106H00000X	Marriage & Family Therapist	2018-063 (North Dakota)	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. Bethany Peterson allows following entities to bill medicare on her behalf.

Entity Name	Village Family Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782

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. Bethany 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
Bethany Peterson, Po Box 9859, Fargo, ND 58106-9859 Ph: () -	Bethany Peterson, 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4900

Reviews and Comments

Marriage & Family Therapist in Fargo, ND

Cynthia Johnson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr. S. Ste H, Fargo, ND 58103 Phone: 218-329-3552 Fax: 701-403-8003
Clara A Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S, Ste 102a, Fargo, ND 58103 Phone: 701-446-6500
Mrs. Heather Elaine Bjur, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1112 Nodak Dr S, Fargo, ND 58103 Phone: 701-232-6224 Fax: 701-232-4687
William Noel Ahlfeldt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 102 25th Ave N, Fargo, ND 58102 Phone: 701-412-6953
Victoria Zak, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-234-2000
Amanda Bahr, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1128 Westrac Dr S Ste A, Fargo, ND 58103 Phone: 701-561-1177
Mary K Uong-kaale, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 25th St S, Fargo, ND 58103 Phone: 701-451-4900

Bethany Peterson, - Medicare Couples Therapy in Fargo, ND