Stephanie Petersen, - Medicare Clinical Social Worker in Jefferson City, MO

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Stephanie Petersen, is a medicare enrolled "Social Worker - Clinical" provider in Jefferson City, Missouri. Her current practice location is 5723 Bridlespur Ln, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (248) 761-5359.

Stephanie Petersen is licensed to practice in NU (license number ) 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 1639705676.

Contact Information

Stephanie Petersen,
5723 Bridlespur Ln,
Jefferson City, MO 65109-5372
(248) 761-5359
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStephanie Petersen
GenderFemale
SpecialitySocial Worker - Clinical
Location5723 Bridlespur Ln, Jefferson City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639705676
  • Provider Enumeration Date: 03/22/2020
  • Last Update Date: 11/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618317652
  • Enrollment ID: I20240424003255

Medical Identifiers

Medical identifiers for Stephanie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639705676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (NU)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. Stephanie Petersen allows following entities to bill medicare on her behalf.
Entity NameSondermind Provider Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210812000440
Entity NameTalkspace Provider Network PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240321002892

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. Stephanie 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 AddressPractice Location Address
Stephanie Petersen,
5723 Bridlespur Ln,
Jefferson City, MO 65109-5372

Ph: (248) 761-5359		Stephanie Petersen,
5723 Bridlespur Ln,
Jefferson City, MO 65109-5372

Ph: (248) 761-5359

Reviews and Comments


Social Worker in Jefferson City, MO

Kayle Streb, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 227 Metro Dr, Jefferson City, MO 65109
Phone: 844-853-8937    
Eric Thomas Lybeck-brown, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 211 Oscar Dr, Suite A, Jefferson City, MO 65101
Phone: 573-635-8299    Fax: 573-635-4629
Ms. Jennie M Harvat, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 227 Metro Dr, Jefferson City, MO 65109
Phone: 888-403-1071    
Baylee Wilson, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 227 Metro Dr, Jefferson City, MO 65109
Phone: 844-853-8937    
Eileen Long, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Southwest Blvd, Ste. F, Jefferson City, MO 65109
Phone: 573-424-1108    
Prof. Deborah Word, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 909 Missouri Blvd, Suite F, Jefferson City, MO 65109
Phone: 573-584-0158    Fax: 573-584-0159
Rodnesha Wright, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 227 Metro Dr, Jefferson City, MO 65109
Phone: 844-853-8937    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.