Olivia Peterson, in Nevada City, CA - Medicare Marriage & Family Therapist Provider

Olivia Peterson, is a medicare enrolled "Marriage & Family Therapist" provider in Nevada City, California. Her current practice location is 208 Providence Mine Rd Ste 122, Nevada City, California. You can reach out to her office (for appointments etc.) via phone at (530) 277-2046.

Olivia Peterson is licensed to practice in California (license number 139207) 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 1063030591.

Contact Information

	Olivia Peterson,
	208 Providence Mine Rd Ste 122, Nevada City, CA 95959-2955
	(530) 277-2046
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia Peterson
Gender	Female
Speciality	Marriage & Family Therapist
Location	208 Providence Mine Rd Ste 122, Nevada City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063030591
Provider Enumeration Date: 07/10/2020
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1355863036
Enrollment ID: I20250324000098

Medical Identifiers

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

Identifier	Type	State	Issuer
1063030591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	139207 (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. Olivia Peterson allows following entities to bill medicare on her behalf.

Entity Name	Kindred Heart Therapy Group Nonprofit
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720689565 PECOS PAC ID: 7315477544 Enrollment ID: O20250204000447

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. Olivia 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
Olivia Peterson, Po Box 2633, Mill Valley, CA 94942-2633 Ph: (970) 376-8434	Olivia Peterson, 208 Providence Mine Rd Ste 122, Nevada City, CA 95959-2955 Ph: (530) 277-2046

Reviews and Comments

Marriage & Family Therapist in Nevada City, CA

Maya Waterstar, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Providence Mine Rd Ste 105, Nevada City, CA 95959 Phone: 530-277-2046
Julian Nolan Brock, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Providence Mine Rd Ste 105, Nevada City, CA 95959 Phone: 530-277-2046
Kyla Dawn Roberts, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 582 Searls Ave, Nevada City, CA 95959 Phone: 415-717-8523
Scott Hapak, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 105 Providence Mine Rd Ste 205, Nevada City, CA 95959 Phone: 530-431-8074
James Clement, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24077 State Highway 49, Nevada City, CA 95959 Phone: 530-265-9057
Kathleen Marie Huckaby, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24077 State Highway 49, Nevada City, CA 95959 Phone: 530-265-9057
Ms. Susan Wright, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 505 Coyote St, Suite C, Nevada City, CA 95959 Phone: 916-207-4873

Olivia Peterson, - Medicare Couples Therapy in Nevada City, CA