Dr Jill M Peterson, PSYD in Racine, WI - Medicare Psychologist Provider

Dr Jill M Peterson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Racine, Wisconsin. Her current practice location is 3801 Spring St, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 687-8538.

Dr Jill M Peterson is licensed to practice in Wisconsin (license number 2709057) 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 1669695136.

Contact Information

	Dr Jill M Peterson, PSYD
	3801 Spring St, Racine, WI 53405-1667
	(262) 687-8538
	(262) 687-4334

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jill M Peterson
Gender	Female
Speciality	Psychologist - Clinical
Location	3801 Spring St, Racine, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669695136
Provider Enumeration Date: 04/11/2007
Last Update Date: 12/09/2008

Medicare PECOS Information:

PECOS PAC ID: 4587727573
Enrollment ID: I20090119000000

Medical Identifiers

Medical identifiers for Dr Jill M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669695136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2709057 (Wisconsin)	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 Jill M Peterson allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174633119 PECOS PAC ID: 8820983760 Enrollment ID: O20040218001088

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 Jill M 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 Jill M Peterson, PSYD 410 West Blvd, Racine, WI 53405-2147 Ph: (262) 687-8538	Dr Jill M Peterson, PSYD 3801 Spring St, Racine, WI 53405-1667 Ph: (262) 687-8538

Reviews and Comments

Psychologist in Racine, WI

Dr. Russell William Kinkade Jr., PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6214 Washington Avenue, Suite C 10, Racine, WI 53406 Phone: 262-989-5228
Dr. Anthony Donald Wendorf, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Avenue, Suite 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547
Dr. Tammy Lynn Zimmel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-554-9846 Fax: 262-598-9032
Dr. Rondi J Rork, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6015 Durand Ave, Ste 450, Racine, WI 53406 Phone: 262-884-4848 Fax: 262-886-6643
Dr. Marie M Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 Durand Ave, Suite 325, Racine, WI 53405 Phone: 262-496-4277
D Martin Hayden, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, Racine, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547
Dr. Melissa Metzger, PSYD, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Mohr Ave, Racine, WI 53405 Phone: 262-664-6162

Dr Jill M Peterson, PSYD - Medicare Psychologist in Racine, WI