Samantha Macy Peters, in St Louis Park, MN - Medicare Social Worker Provider

Samantha Macy Peters, is a medicare enrolled "Social Worker - Clinical" provider in St Louis Park, Minnesota. Her current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3123.

Samantha Macy Peters is licensed to practice in Minnesota (license number 28956) 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 1104517291.

Contact Information

	Samantha Macy Peters,
	6500 Excelsior Blvd, St Louis Park, MN 55426-4702
	(952) 993-3123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Macy Peters
Gender	Female
Speciality	Social Worker - Clinical
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104517291
Provider Enumeration Date: 05/18/2023
Last Update Date: 02/20/2026

Medicare PECOS Information:

PECOS PAC ID: 1052767597
Enrollment ID: I20231019002794

Medical Identifiers

Medical identifiers for Samantha Macy Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104517291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28956 (Minnesota)	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. Samantha Macy Peters allows following entities to bill medicare on her behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Samantha Macy Peters 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
Samantha Macy Peters, 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: () -	Samantha Macy Peters, 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-3123

Reviews and Comments

Social Worker in St Louis Park, MN

Bethany Lemere Rice, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5891 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 206-819-0957
Ms. Susan Reynolds, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416 Phone: 952-925-3533
Amanda Mae Williams, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1000 Fax: 952-883-9470
Rachel Kathleen Syring, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2682
Kari Marie Palthe Anderson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-6086
Mr. George V Baboila, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707
Shelly Grant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Florida Ave S Ste 307, St Louis Park, MN 55426 Phone: 952-544-6808 Fax: 952-545-0098

Samantha Macy Peters, - Medicare Clinical Social Worker in St Louis Park, MN