Kristin Petersen, in White Earth, MN - Medicare Clinical Social Worker Provider

Kristin Petersen, is a medicare enrolled "Social Worker - Clinical" provider in White Earth, Minnesota. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 26246 Crane Rd, White Earth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 983-4703.

Kristin Petersen is licensed to practice in Minnesota (license number 21218) 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 1710422779.

Contact Information

	Kristin Petersen,
	26246 Crane Rd, White Earth, MN 56591-9998
	(218) 983-4703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Petersen
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	26246 Crane Rd, White Earth, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin Petersen graduated from medical school in 2012

NPI Data:

NPI Number: 1710422779
Provider Enumeration Date: 12/30/2016
Last Update Date: 12/30/2016

Medicare PECOS Information:

PECOS PAC ID: 9537647763
Enrollment ID: I20260129002976

Medical Identifiers

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

Identifier	Type	State	Issuer
1710422779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21218 (Minnesota)	Primary

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. Kristin 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
Kristin Petersen, 6578 Big Bass Rd Ne, Bemidji, MN 56601-8674 Ph: (218) 760-6543	Kristin Petersen, 26246 Crane Rd, White Earth, MN 56591-9998 Ph: (218) 983-4703

Reviews and Comments

Social Worker in White Earth, MN

Judy Simpson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24246 Crane Road, White Earth, MN 56591 Phone: 218-983-4703
Sean Simpson, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26246 Crane Rd, White Earth, MN 56591 Phone: 218-983-3286 Fax: 218-983-4236
Byllie Jean Gwyn Beck, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24246 Crane Road, White Earth, MN 56591 Phone: 218-983-4703
Katy Jo Braaten, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 300, White Earth, MN 56591 Phone: 218-368-7078
Angela Marie Bellanger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35686 County Highway 21, White Earth, MN 56591 Phone: 218-983-3285 Fax: 218-983-4236

Kristin Petersen, - Medicare Clinical Social Worker in White Earth, MN