Pamela Peterson, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Duluth, Minnesota. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is
332 W Superior St Ste 300, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 722-4379.
Pamela Peterson is licensed to practice in Minnesota (license number 304004) 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 1700330503.
Healthcare Provider's Profile
| Full Name | Pamela Peterson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 332 W Superior St Ste 300, Duluth, Minnesota |
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| 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:
- Pamela Peterson graduated from medical school in 2017
NPI Data:
- NPI Number: 1700330503
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416364500
- Enrollment ID: I20210408001112
Medical Identifiers
Medical identifiers for Pamela Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700330503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 26251 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304004 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Nystrom And Associates Ltd | 6406752492 | 459 |
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. Pamela Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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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. Pamela 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 |
Pamela Peterson, 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1718 | Pamela Peterson, 332 W Superior St Ste 300, Duluth, MN 55802 Ph: (218) 722-4379 |
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