Kelissa Peterson, LCSW in Farmington, UT - Medicare Social Worker Provider

Kelissa Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, Utah. Her current practice location is 284 E 750 S, Farmington, Utah. You can reach out to her office (for appointments etc.) via phone at (208) 994-9677.

Kelissa Peterson is licensed to practice in Utah (license number 7396757-3501) 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 1851998207.

Contact Information

	Kelissa Peterson, LCSW
	284 E 750 S, Farmington, UT 84025-3243
	(208) 994-9677
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelissa Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	284 E 750 S, Farmington, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851998207
Provider Enumeration Date: 10/07/2020
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 6507387107
Enrollment ID: I20250312001141

Medical Identifiers

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

Identifier	Type	State	Issuer
1851998207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7396757-3501 (Utah)	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. Kelissa Peterson allows following entities to bill medicare on her behalf.

Entity Name	Olympus Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972202471 PECOS PAC ID: 8921543000 Enrollment ID: O20240712002344

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. Kelissa 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
Kelissa Peterson, LCSW 284 E 750 S, Farmington, UT 84025-3243 Ph: (208) 994-9677	Kelissa Peterson, LCSW 284 E 750 S, Farmington, UT 84025-3243 Ph: (208) 994-9677

Reviews and Comments

Social Worker in Farmington, UT

Mr. Doug E Nielsen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475
James Healey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 S 200 E, Farmington, UT 84025 Phone: 801-447-4865
Mrs. Mejken Eileen Theurer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475
Kaye Espenschied Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 Shepard Ln Ste 102, Farmington, UT 84025 Phone: 801-447-8680 Fax: 801-447-4211
Jameson Hedin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1379 N 1075 W Ste 228, Farmington, UT 84025 Phone: 801-660-8545
Mr. George M Dunnigan, 8018916423 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Island View Cir, Farmington, UT 84025 Phone: 801-891-6423
Dennis Dale Ashton, LCSW - APA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475

Kelissa Peterson, LCSW - Medicare Clinical Social Worker in Farmington, UT