Dr Chantal Marie Peterson, PSYD in Rapid City, SD - Medicare Clinical Psychologist Provider

Dr Chantal Marie Peterson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rapid City, South Dakota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Bridgewater Behavioral Health Llc and her current practice location is 1770 Rand Rd, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 791-1514.

Dr Chantal Marie Peterson is licensed to practice in South Dakota (license number 515) 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 1427469519.

Contact Information

	Dr Chantal Marie Peterson, PSYD
	1770 Rand Rd, Rapid City, SD 57702-9347
	(605) 791-1514
	(844) 831-2349

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Chantal Marie Peterson
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	1770 Rand Rd, Rapid City, South Dakota
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 Chantal Marie Peterson graduated from medical school in 2010

NPI Data:

NPI Number: 1427469519
Provider Enumeration Date: 05/12/2014
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4981820024
Enrollment ID: I20140724002338

Medical Identifiers

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

Identifier	Type	State	Issuer
1427469519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	515 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bridgewater Behavioral Health Llc	7911216502	3

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 Chantal Marie Peterson allows following entities to bill medicare on her behalf.

Entity Name	Bridgewater Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588048201 PECOS PAC ID: 7911216502 Enrollment ID: O20151021003194

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 Chantal 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
Dr Chantal Marie Peterson, PSYD 1770 Rand Rd, Rapid City, SD 57702-9347 Ph: (605) 791-1514	Dr Chantal Marie Peterson, PSYD 1770 Rand Rd, Rapid City, SD 57702-9347 Ph: (605) 791-1514

Reviews and Comments

Psychologist in Rapid City, SD

Sandra Jensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4851 Cliff Dr, Rapid City, SD 57702 Phone: 850-339-7660
Mrs. Trisha Terrean Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 W Fulton St, Suite 201, Rapid City, SD 57702 Phone: 605-348-6565 Fax: 605-341-7409
Dr. Robin Nicole Wisniewski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 636 Saint Anne St, Rapid City, SD 57701 Phone: 605-721-8822
Thomas Brey, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Saint Joseph St, Rapid City, SD 57701 Phone: 605-394-4036
Christina Olinger, MA, ACT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 Haines Ave, Ste 6, Rapid City, SD 57701 Phone: 605-716-7841 Fax: 605-718-0404
Kaylee Trottier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7110 Jordan Dr, Rapid City, SD 57702 Phone: 605-791-7414
Julie Remmereid, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Van Buren St, Rapid City, SD 57701 Phone: 605-394-1841 Fax: 605-394-1739

Dr Chantal Marie Peterson, PSYD - Medicare Psychologist in Rapid City, SD