Diane Petersen, LCSW in Grayslake, IL - Medicare Clinical Social Worker Provider

Diane Petersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Grayslake, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Youth Network Inc, B And B Spaulding Llc and her current practice location is 18640 W Il Route 120, Grayslake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 548-6000.

Diane Petersen is licensed to practice in Illinois (license number 149.005019) 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 1306187117.

Contact Information

	Diane Petersen, LCSW
	18640 W Il Route 120, Grayslake, IL 60030-9733
	(847) 548-6000
	(847) 548-6040

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Petersen
Gender	Female
Speciality	Clinical Social Worker
Experience	53 Years
Location	18640 W Il Route 120, Grayslake, Illinois
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:

Diane Petersen attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1971

NPI Data:

NPI Number: 1306187117
Provider Enumeration Date: 03/05/2013
Last Update Date: 03/05/2013

Medicare PECOS Information:

PECOS PAC ID: 7719121987
Enrollment ID: I20130910000804

Medical Identifiers

Medical identifiers for Diane Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306187117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.005019 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Youth Network Inc	3678730215	2
B And B Spaulding Llc	7810177177	4

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. Diane Petersen allows following entities to bill medicare on her behalf.

Entity Name	B & B Spaulding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902106750 PECOS PAC ID: 7810177177 Enrollment ID: O20110203001142

Entity Name	Community Youth Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518098771 PECOS PAC ID: 3678730215 Enrollment ID: O20120209000011

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. Diane 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
Diane Petersen, LCSW 18640 W Il Route 120, Grayslake, IL 60030-9733 Ph: (847) 548-6000	Diane Petersen, LCSW 18640 W Il Route 120, Grayslake, IL 60030-9733 Ph: (847) 548-6000

Reviews and Comments

Social Worker in Grayslake, IL

Mr. Brian Schultz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 Center St, Grayslake, IL 60030 Phone: 847-549-2235
Lindsay Elizabeth Dehaan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Grayslake, IL 60030 Phone: 847-549-2235
Jill Novacek, MSW, LCSW, LSOTP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18640 W Il Route 120, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-548-6040
Jody Springer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18640 W. Belvidere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-548-6040
Thomas Schreiner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18640 W. Belvidere Road, Grayslake, IL 60030 Phone: 847-548-6000 Fax: 847-548-6040
Mrs. Sabrina Gibson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 N Lake St, Grayslake, IL 60030 Phone: 847-986-3300
Lauren Erickson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Grayslake, IL 60030 Phone: 847-549-2235

Diane Petersen, LCSW - Medicare Clinical Social Worker in Grayslake, IL