Beth M Petersen, PSY D HSPP in Evansville, IN - Medicare Clinical Psychologist Provider

Beth M Petersen, PSY D HSPP is a medicare enrolled "Psychologist - Clinical" provider in Evansville, Indiana. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Deaconess Clinic Inc and her current practice location is 421 Chestnut St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 426-9779.

Beth M Petersen is licensed to practice in Indiana (license number 20042022A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518941384.

Contact Information

	Beth M Petersen, PSY D HSPP
	421 Chestnut St, Evansville, IN 47713-1227
	(812) 426-9779
	(812) 426-6610

Map and Direction

Healthcare Provider's Profile

Full Name	Beth M Petersen
Gender	Female
Speciality	Clinical Psychologist
Experience	20 Years
Location	421 Chestnut St, Evansville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Beth M Petersen graduated from medical school in 2004

NPI Data:

NPI Number: 1518941384
Provider Enumeration Date: 12/05/2005
Last Update Date: 01/09/2013

Medicare PECOS Information:

PECOS PAC ID: 4082636766
Enrollment ID: I20051221000874

Medical Identifiers

Medical identifiers for Beth M Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518941384	NPI	-	NPPES
200806070	Medicaid	IN
371620	Other	IN	MHN TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20042022A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	343

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. Beth M Petersen allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Beth M Petersen 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
Beth M Petersen, PSY D HSPP Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 426-9779	Beth M Petersen, PSY D HSPP 421 Chestnut St, Evansville, IN 47713-1227 Ph: (812) 426-9779

Reviews and Comments

Psychologist in Evansville, IN

Dr. Stacy J Blankenbuehler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9779 Fax: 812-426-6610
Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202

Beth M Petersen, PSY D HSPP - Medicare Psychologist in Evansville, IN