Ms Nina Escobar Petersen, LCSW in Lees Summit, MO - Medicare Social Worker Provider

Ms Nina Escobar Petersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lees Summit, Missouri. Her current practice location is 1535 Ne Rice Rd, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 966-0900.

Ms Nina Escobar Petersen is licensed to practice in Missouri (license number 2014008259) 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 1093030389.

Contact Information

	Ms Nina Escobar Petersen, LCSW
	1535 Ne Rice Rd, Lees Summit, MO 64086-5849
	(816) 966-0900
	(816) 347-3209

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nina Escobar Petersen
Gender	Female
Speciality	Social Worker - Clinical
Location	1535 Ne Rice Rd, Lees Summit, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093030389
Provider Enumeration Date: 03/30/2010
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8628200250
Enrollment ID: I20140415000710

Medical Identifiers

Medical identifiers for Ms Nina Escobar Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093030389	NPI	-	NPPES
50560039	Other	MO	BLUE CROSS BLUE SHIELD - BLUE KC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2014008259 (Missouri)	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. Ms Nina Escobar Petersen allows following entities to bill medicare on her behalf.

Entity Name	The Childrens Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182

Entity Name	Rediscover
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841235298 PECOS PAC ID: 3375453517 Enrollment ID: O20031118000461

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. Ms Nina Escobar Petersen 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
Ms Nina Escobar Petersen, LCSW 1555 Ne Rice Rd, Lees Summit, MO 64086-5849 Ph: (816) 347-3069	Ms Nina Escobar Petersen, LCSW 1535 Ne Rice Rd, Lees Summit, MO 64086-5849 Ph: (816) 966-0900

Reviews and Comments

Social Worker in Lees Summit, MO

Christina Shaw Hyde, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1260 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-347-8777
Mr. Robert Grey Endres, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1508 Sw White Ridge Dr, Lees Summit, MO 64081 Phone: 816-836-2920 Fax: 816-836-2923
Ms. Amanda Anne Cornell, MSW, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200
Ms. Stacy Mays, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Se Grand Ave, Suite B, Lees Summit, MO 64063 Phone: 816-581-3737
Mrs. Connie Mae Putthoff, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3017 Fax: 816-246-8207
Camille A Davis, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Se 3rd St Ste 206, Lees Summit, MO 64063 Phone: 316-807-1365
Amber L Buse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1535 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200

Ms Nina Escobar Petersen, LCSW - Medicare Clinical Social Worker in Lees Summit, MO