Tamatha Shon Peterson, in Auburn, CA - Medicare Social Worker Provider

Tamatha Shon Peterson, is a medicare enrolled "Social Worker - Clinical" provider in Auburn, California. Her current practice location is 11716 Enterprise Dr, Auburn, California. You can reach out to her office (for appointments etc.) via phone at (530) 889-6700.

Tamatha Shon Peterson is licensed to practice in California (license number LCS24142) 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 1033241898.

Contact Information

	Tamatha Shon Peterson,
	11716 Enterprise Dr, Auburn, CA 95603-3732
	(530) 889-6700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tamatha Shon Peterson
Gender	Female
Speciality	Social Worker - Clinical
Location	11716 Enterprise Dr, Auburn, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033241898
Provider Enumeration Date: 03/09/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1355667155
Enrollment ID: I20150312001853

Medical Identifiers

Medical identifiers for Tamatha Shon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033241898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS24142 (California)	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. Tamatha Shon Peterson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Tamatha Shon 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
Tamatha Shon Peterson, 11716 Enterprise Dr, Auburn, CA 95603-3732 Ph: (530) 889-6743	Tamatha Shon Peterson, 11716 Enterprise Dr, Auburn, CA 95603-3732 Ph: (530) 889-6700

Reviews and Comments

Social Worker in Auburn, CA

Tom A Drake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11512 B Ave, Auburn, CA 95603 Phone: 530-889-7240
Mrs. Laura Ann Gauthier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 High St, Suite 120 A, Auburn, CA 95603 Phone: 530-887-1637 Fax: 530-887-1637
Monica Erdosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 853 Lincoln Way Ste 2051, Auburn, CA 95603 Phone: 530-889-0530 Fax: 530-889-0594
Ms. Pamela Palmer Baker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Oakwood Dr, Auburn, CA 95603 Phone: 916-207-2691 Fax: 530-885-7059
Ms. Maureen Frances Bauman, MSW, MPA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11533 C Ave, Auburn, CA 95603 Phone: 530-889-7256
Rochelle Beth Silverman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Virginia St, Auburn, CA 95603 Phone: 206-669-5879

Tamatha Shon Peterson, - Medicare Clinical Social Worker in Auburn, CA