Dr Amanda Lynn Peterson, PHD LP in Rosemount, MN - Medicare Psychologist Provider

Dr Amanda Lynn Peterson, PHD LP is a medicare enrolled "Psychologist - Clinical" provider in Rosemount, Minnesota. Her current practice location is 15265 Carrousel Way, Rosemount, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 443-4600.

Dr Amanda Lynn Peterson is licensed to practice in Minnesota (license number LP7008) 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 1508547977.

Contact Information

	Dr Amanda Lynn Peterson, PHD LP
	15265 Carrousel Way, Rosemount, MN 55068-1760
	(952) 443-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amanda Lynn Peterson
Gender	Female
Speciality	Psychologist - Clinical
Location	15265 Carrousel Way, Rosemount, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508547977
Provider Enumeration Date: 07/28/2023
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1153770284
Enrollment ID: I20231214000107

Medical Identifiers

Medical identifiers for Dr Amanda Lynn Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508547977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP7008 (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. Dr Amanda Lynn Peterson allows following entities to bill medicare on her behalf.

Entity Name	Lorenz Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081

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. Dr Amanda Lynn 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
Dr Amanda Lynn Peterson, PHD LP 15265 Carrousel Way, Rosemount, MN 55068-1760 Ph: () -	Dr Amanda Lynn Peterson, PHD LP 15265 Carrousel Way, Rosemount, MN 55068-1760 Ph: (952) 443-4600

Reviews and Comments

Psychologist in Rosemount, MN

Hayley Elizabeth Knapp, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600
Jennifer W Koplos, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 952-443-4604
Mrs. Ashley Junghans-rutelonis, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 952-443-4604

Dr Amanda Lynn Peterson, PHD LP - Medicare Psychologist in Rosemount, MN