Mr Scott Petersen, DBH, LMFT, LISAC in Mesa, AZ - Medicare Marriage & Family Therapist Provider

Mr Scott Petersen, DBH, LMFT, LISAC is a medicare enrolled "Marriage & Family Therapist" provider in Mesa, Arizona. His current practice location is 2204 S Dobson Rd Ste 201, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 371-4516.

Mr Scott Petersen is licensed to practice in Arizona (license number LMFT-10277) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922420082.

Contact Information

	Mr Scott Petersen, DBH, LMFT, LISAC
	2204 S Dobson Rd Ste 201, Mesa, AZ 85202-6457
	(480) 371-4516
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Scott Petersen
Gender	Male
Speciality	Marriage & Family Therapist
Location	2204 S Dobson Rd Ste 201, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922420082
Provider Enumeration Date: 01/09/2014
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 7012455124
Enrollment ID: I20240820001210

Medical Identifiers

Medical identifiers for Mr Scott Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922420082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LISAC-11778 (Arizona)	Secondary
106H00000X	Marriage & Family Therapist	LMFT-10277 (Arizona)	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. Mr Scott Petersen allows following entities to bill medicare on his behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

Entity Name	Arcadia Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801478664 PECOS PAC ID: 9335672955 Enrollment ID: O20241104001898

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. Mr Scott 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 Address	Practice Location Address
Mr Scott Petersen, DBH, LMFT, LISAC 2204 S Dobson Rd Ste 201, Mesa, AZ 85202-6457 Ph: (480) 371-4516	Mr Scott Petersen, DBH, LMFT, LISAC 2204 S Dobson Rd Ste 201, Mesa, AZ 85202-6457 Ph: (480) 371-4516

Reviews and Comments

Marriage & Family Therapist in Mesa, AZ

Natasha Natasha Hatch, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1234 S Power Rd Ste 100, Mesa, AZ 85206 Phone: 602-633-5032
William Michael Munion, MA, LPC Couples Therapy Medicare: Medicare Enrolled Practice Location: 4140 E Baseline Rd Ste 101, Mesa, AZ 85206 Phone: 802-507-8954 Fax: 480-964-3839
Courtney Kinneard Brown, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1310 S Dobson Rd, Mesa, AZ 85202 Phone: 480-968-2995
Mrs. Kylie Nelson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2929 N Power Rd, Suite 101, Mesa, AZ 85215 Phone: 928-542-6700
Catherine Jean Newell, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6402 E Superstition Springs Blvd, Suite 208, Mesa, AZ 85206 Phone: 480-331-7358 Fax: 480-558-3020
Devan Anne Hunt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2500 S Power Rd Ste 120, Mesa, AZ 85209 Phone: 480-382-1257
Dr. Matthew Andrew Rundio, D.MIN, MSMFT, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4864 E Baseline Rd Ste 106, Mesa, AZ 85206 Phone: 480-877-1486

Mr Scott Petersen, DBH, LMFT, LISAC - Medicare Couples Therapy in Mesa, AZ