Alexandra Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Van Nuys, California. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Compass Therapeutic Alliance A Licensed Clinical Social Worker Co and her current practice location is
15339 Saticoy St, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 267-2631.
Alexandra Peterson is licensed to practice in California (license number LCSW92906) 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 1386021301.
Healthcare Provider's Profile
| Full Name | Alexandra Peterson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 15339 Saticoy St, Van Nuys, California |
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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. |
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Medical Education and Training:
- Alexandra Peterson graduated from medical school in 2013
NPI Data:
- NPI Number: 1386021301
- Provider Enumeration Date: 04/28/2015
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860836475
- Enrollment ID: I20240221003720
Medical Identifiers
Medical identifiers for Alexandra Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386021301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 59998 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 59998 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW92906 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Compass Therapeutic Alliance A Licensed Clinical Social Worker Co | 5294119004 | 7 |
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. Alexandra Peterson allows following entities to bill medicare on her behalf.
| Entity Name | Compass Therapeutic Alliance A Licensed Clinical Social Worker Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205572559
PECOS PAC ID: 5294119004
Enrollment ID: O20220829000533 |
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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. Alexandra 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 |
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Alexandra Peterson, LCSW
15339 Saticoy St,
Van Nuys, CA 91406-3345
Ph: (818) 267-2631 | Alexandra Peterson, LCSW
15339 Saticoy St,
Van Nuys, CA 91406-3345
Ph: (818) 267-2631 |
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