| Brett Petersen, LMSW | |
|
4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 | |
| (480) 844-1653 | |
| (480) 539-4979 |
| Full Name | Brett Petersen |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 4250 E Florian Ave, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063891638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW15582 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yuma Regional Medical Center | 2062314826 | 359 |
| Entity Name | Yuma Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Petersen, LMSW 924 N Country Club Dr, Building #1, Mesa, AZ 85201-4108 Ph: (480) 969-3800 | Brett Petersen, LMSW 4250 E Florian Ave, Building #1, Mesa, AZ 85206-2797 Ph: (480) 844-1653 |
Robert Whitney, MSW, ACSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1423 S Higley Rd, Suite 112, Mesa, AZ 85206 Phone: 480-654-0992 Fax: 480-325-5444 | |
Ms. Teri Virginia Krull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 S Alma School Rd, 110, Mesa, AZ 85210 Phone: 480-917-7792 | |
Kelly Lalan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1921 S Alma School Rd, Mesa, AZ 85210 Phone: 480-466-2428 | |
Stacy Underwood, NP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202 Phone: 480-820-0825 | |
Ms. Barbara Johnson Bryant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 N Stapley Dr, 2021, Mesa, AZ 85203 Phone: 219-730-9244 | |
Lisa Marie Edin Browning, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6344 E Broadway Rd, Suite 104, Mesa, AZ 85206 Phone: 480-703-7950 | |
Allison Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3048 E Baseline Rd Ste 107, Mesa, AZ 85204 Phone: 480-482-1838 |