Dr Pamela Marjorie Peterson, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Plainview, Minnesota. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
300 W Broadway, Ste 1, Plainview, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 421-1064.
Dr Pamela Marjorie Peterson is licensed to practice in Minnesota (license number LP3975) 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 1972674091.
Healthcare Provider's Profile
| Full Name | Dr Pamela Marjorie Peterson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 26 Years |
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| Location | 300 W Broadway, Plainview, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Pamela Marjorie Peterson graduated from medical school in 1998
NPI Data:
- NPI Number: 1972674091
- Provider Enumeration Date: 11/11/2006
- Last Update Date: 04/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951349562
- Enrollment ID: I20050422000618
Medical Identifiers
Medical identifiers for Dr Pamela Marjorie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972674091 | NPI | - | NPPES |
| 607316600 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP3975 (Minnesota) | Primary |
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 Pamela Marjorie 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 Pamela Marjorie Peterson, PHD, LP
314 Devin Dr,
Saint Charles, MN 55972-1701
Ph: (507) 421-1064 | Dr Pamela Marjorie Peterson, PHD, LP
300 W Broadway, Ste 1,
Plainview, MN 55964-1256
Ph: (507) 421-1064 |
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