Carol Peitzman, MD in Bloomington, MN - Medicare Certified Clinical Nurse Specialist (cns)

Carol Peitzman, MD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bloomington, Minnesota. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Southern Cities Clinic and her current practice location is 1603 W Old Shakopee Rd, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 401-4868.

Carol Peitzman is licensed to practice in Minnesota (license number P78919) 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 1225120991.

Contact Information

	Carol Peitzman, MD
	1603 W Old Shakopee Rd, Bloomington, MN 55431-3065
	(952) 401-4868
	(888) 816-7903

Map and Direction

Provider's Profile

Full Name	Carol Peitzman
Gender	Female
Speciality	Certified Clinical Nurse Specialist (cns)
Experience	22 Years
Location	1603 W Old Shakopee Rd, Bloomington, Minnesota
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:

Carol Peitzman graduated from nursing school in 2002

NPI Data:

NPI Number: 1225120991
Provider Enumeration Date: 09/29/2006
Last Update Date: 07/10/2013

Medicare PECOS Information:

PECOS PAC ID: 9830148642
Enrollment ID: I20050119000754

Medical Identifiers

Medical identifiers for Carol Peitzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225120991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	P78919 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hennepin County Medical Center 1	Minneapolis, MN	Hospital
Abbott Northwestern Hospital	Minneapolis, MN	Hospital
Mayo Clinic Health System - Waseca	Waseca, MN	Hospital
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Cities Clinic	7517912991	7

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. Carol Peitzman allows following entities to bill medicare on her behalf.

Entity Name	Southern Cities Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437218740 PECOS PAC ID: 7517912991 Enrollment ID: O20050318000140

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. Carol Peitzman 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
Carol Peitzman, MD 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 Ph: (952) 401-4868	Carol Peitzman, MD 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 Ph: (952) 401-4868

Reviews and Comments

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Carol Peitzman, MD - Medicare Certified Clinical Nurse Specialist (cns) in Bloomington, MN