Cori Christina Boehm-peterson, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Richfield, Minnesota. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Affinity Psychological Services Pc and her current practice location is
6636 Cedar Ave S Ste 360, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 998-8934.
Cori Christina Boehm-peterson is licensed to practice in Minnesota (license number 14296) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376856518.
Healthcare Provider's Profile
| Full Name | Cori Christina Boehm-peterson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 6636 Cedar Ave S Ste 360, Richfield, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cori Christina Boehm-peterson graduated from medical school in 2004
NPI Data:
- NPI Number: 1376856518
- Provider Enumeration Date: 07/16/2010
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981937760
- Enrollment ID: I20190611000016
Medical Identifiers
Medical identifiers for Cori Christina Boehm-peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376856518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 14296 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 14296 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Affinity Psychological Services Pc | 0749528552 | 48 |
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. Cori Christina Boehm-peterson allows following entities to bill medicare on her behalf.
| Entity Name | Hennepin Healthcare System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467 |
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| Entity Name | Affinity Psychological Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245610856
PECOS PAC ID: 0749528552
Enrollment ID: O20190220001363 |
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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. Cori Christina Boehm-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 |
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Cori Christina Boehm-peterson, LICSW
701 Park Ave,
Minneapolis, MN 55415-1623
Ph: (612) 873-3000 | Cori Christina Boehm-peterson, LICSW
6636 Cedar Ave S Ste 360,
Richfield, MN 55423-2712
Ph: (612) 998-8934 |
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