Dr Carol Brooke Peterson, PHD in Minneapolis, MN - Medicare Clinical Psychologist Provider

Dr Carol Brooke Peterson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. She went to University Of Minnesota Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Minnesota Physicians and her current practice location is 2450 Riverside Ave, 2a West, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 273-8700.

Dr Carol Brooke Peterson is licensed to practice in Minnesota (license number LP3201) 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 1144237579.

Contact Information

	Dr Carol Brooke Peterson, PHD
	2450 Riverside Ave, 2a West, Minneapolis, MN 55454-1450
	(612) 273-8700
	(612) 273-8787

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carol Brooke Peterson
Gender	Female
Speciality	Clinical Psychologist
Experience	31 Years
Location	2450 Riverside Ave, Minneapolis, Minnesota
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:

Dr Carol Brooke Peterson attended and graduated from University Of Minnesota Medical School in 1993

NPI Data:

NPI Number: 1144237579
Provider Enumeration Date: 08/01/2006
Last Update Date: 05/25/2017

Medicare PECOS Information:

PECOS PAC ID: 2466720826
Enrollment ID: I20170608000855

Medical Identifiers

Medical identifiers for Dr Carol Brooke Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144237579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP3201 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Minnesota Physicians	9830001189	124

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 Carol Brooke Peterson allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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 Carol Brooke 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 Carol Brooke Peterson, PHD 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 Ph: () -	Dr Carol Brooke Peterson, PHD 2450 Riverside Ave, 2a West, Minneapolis, MN 55454-1450 Ph: (612) 273-8700

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Carol Brooke Peterson, PHD - Medicare Psychologist in Minneapolis, MN