Kirsten Marie Petron, LCSW, CDC II is a medicare enrolled "Social Worker - Clinical" provider in Wasilla, Alaska. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southcentral Foundation and her current practice location is
1001 S Knik Goose Bay Rd, Wasilla, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 631-7670.
Kirsten Marie Petron is licensed to practice in Alaska (license number 213013) 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 1902421118.
Healthcare Provider's Profile
| Full Name | Kirsten Marie Petron |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
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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:
- Kirsten Marie Petron graduated from medical school in 2021
NPI Data:
- NPI Number: 1902421118
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234670142
- Enrollment ID: I20240919000227
Medical Identifiers
Medical identifiers for Kirsten Marie Petron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902421118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3155 (Alaska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 213013 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southcentral Foundation | 5496663627 | 115 |
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. Kirsten Marie Petron allows following entities to bill medicare on her behalf.
| Entity Name | Southcentral Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780614263
PECOS PAC ID: 5496663627
Enrollment ID: O20051027000416 |
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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. Kirsten Marie Petron 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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Kirsten Marie Petron, LCSW, CDC II
1001 S Knik Goose Bay Rd,
Wasilla, AK 99654-8083
Ph: (307) 631-7670 | Kirsten Marie Petron, LCSW, CDC II
1001 S Knik Goose Bay Rd,
Wasilla, AK 99654-8083
Ph: (907) 631-7670 |
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