Peter Joseph Somers, PHD is a medicare enrolled "Psychologist - Clinical" provider in Winnebago, Minnesota. His current practice location is
16 N Shore Dr, Winnebago, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 396-1699.
Peter Joseph Somers is licensed to practice in Minnesota (license number LP1856) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063436814.
Healthcare Provider's Profile
| Full Name | Peter Joseph Somers |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 16 N Shore Dr, Winnebago, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063436814
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911946330
- Enrollment ID: I20050426000710
Medical Identifiers
Medical identifiers for Peter Joseph Somers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063436814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP1856 (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. Peter Joseph Somers allows following entities to bill medicare on his behalf.
| Entity Name | Somers Psychological Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861051351
PECOS PAC ID: 3779821939
Enrollment ID: O20190621002402 |
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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. Peter Joseph Somers 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 |
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Peter Joseph Somers, PHD
16 N Shore Dr,
Winnebago, MN 56098-3345
Ph: (612) 396-1699 | Peter Joseph Somers, PHD
16 N Shore Dr,
Winnebago, MN 56098-3345
Ph: (612) 396-1699 |
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