Kraig Robert Peterson, LGSW in Duluth, MN - Medicare Clinical Social Worker Provider

Kraig Robert Peterson, LGSW is a medicare enrolled "Social Worker - Clinical" provider in Duluth, Minnesota. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lake Superior Community Health Center and his current practice location is 4325 Grand Ave, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 722-1497.

Kraig Robert Peterson is licensed to practice in Minnesota (license number 27303) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093293326.

Contact Information

	Kraig Robert Peterson, LGSW
	4325 Grand Ave, Duluth, MN 55807-2730
	(218) 722-1497
	(218) 722-6239

Map and Direction

Healthcare Provider's Profile

Full Name	Kraig Robert Peterson
Gender	Male
Speciality	Clinical Social Worker
Experience	6 Years
Location	4325 Grand Ave, Duluth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kraig Robert Peterson graduated from medical school in 2018

NPI Data:

NPI Number: 1093293326
Provider Enumeration Date: 07/30/2018
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4688088768
Enrollment ID: I20210203000851

Medical Identifiers

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

Identifier	Type	State	Issuer
1093293326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9522 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	27303 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Superior Community Health Center	6608810031	14

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. Kraig Robert Peterson allows following entities to bill medicare on his behalf.

Entity Name	Lake Superior Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063789022 PECOS PAC ID: 6608810031 Enrollment ID: O20110205000134

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. Kraig Robert 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
Kraig Robert Peterson, LGSW 2222 E 5th St, Superior, WI 54880-3709 Ph: (715) 392-1955	Kraig Robert Peterson, LGSW 4325 Grand Ave, Duluth, MN 55807-2730 Ph: (218) 722-1497

Reviews and Comments

Social Worker in Duluth, MN

Melissa Ann Winkler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 W 9th St, Duluth, MN 55807 Phone: 218-625-2638 Fax: 651-323-2184
Emily Lundgren, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595
Glenn Howard Tobey, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 1/2 N Lake Ave Rm 201, Duluth, MN 55802 Phone: 218-740-4389 Fax: 218-740-4389
Natalie Jo Ryan, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 E 4th St, Duluth, MN 55805 Phone: 218-624-5683 Fax: 218-624-5736
Zayla Asquith-heinz, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4325 Grand Ave, Duluth, MN 55807 Phone: 218-722-1497 Fax: 218-722-6239
Sara A Fijalkiewicz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W 2nd St, Duluth, MN 55802 Phone: 218-728-4491 Fax: 218-302-8698
Wendy Michelle Olson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364

Kraig Robert Peterson, LGSW - Medicare Clinical Social Worker in Duluth, MN