Jessica Peterson, LCSW in Coeur D Alene, ID - Medicare Social Worker Provider

Jessica Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coeur D Alene, Idaho. Her current practice location is 1044 Northwest Blvd Ste C, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 930-1740.

Jessica Peterson is licensed to practice in Idaho (license number LCSW-39938) 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 1669901260.

Contact Information

	Jessica Peterson, LCSW
	1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114
	(208) 930-1740
	(208) 930-1695

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	1044 Northwest Blvd Ste C, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669901260
Provider Enumeration Date: 06/07/2017
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4688082787
Enrollment ID: I20210408002075

Medical Identifiers

Medical identifiers for Jessica Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669901260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-39938 (Idaho)	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. Jessica Peterson allows following entities to bill medicare on her behalf.

Entity Name	Ambitions Of Idaho Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003145533 PECOS PAC ID: 6305121328 Enrollment ID: O20170314000619

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. Jessica 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
Jessica Peterson, LCSW 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114 Ph: (208) 930-1740	Jessica Peterson, LCSW 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114 Ph: (208) 930-1740

Reviews and Comments

Social Worker in Coeur D Alene, ID

Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250
Tina Husky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250
Ms. Erica Marie Chaney I, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W Ironwood Dr Ste B, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867

Jessica Peterson, LCSW - Medicare Clinical Social Worker in Coeur D Alene, ID