| Pamela Peterson, | |
|
332 W Superior St Ste 300, Duluth, MN 55802 | |
| (218) 722-4379 | |
| Not Available |
| Full Name | Pamela Peterson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 332 W Superior St Ste 300, Duluth, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700330503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304004 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 26251 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 590 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Peterson, 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1718 | Pamela Peterson, 332 W Superior St Ste 300, Duluth, MN 55802 Ph: (218) 722-4379 |
Ms. Debra Charmaine Viner, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 306 W Superior St Ste 1000, Duluth, MN 55802 Phone: 218-481-7660 Fax: 218-216-1452 |
Emma J Barr, MA, LADC, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2 E 2nd St, Duluth, MN 55802 Phone: 218-740-5556 Fax: 612-823-4913 |
Kristina L Scott, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1707 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-729-6480 |
David Lee Scott, MA, LMAC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 218-722-4379 Fax: 218-722-4333 |
Katie Elizabeth Beeman Erickson, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 E Superior St, Duluth, MN 55802 Phone: 218-393-5407 Fax: 218-461-3666 |
Nicole Dorothy Watson, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 394 S Lake Ave Ste 515, Duluth, MN 55802 Phone: 218-206-6676 |
Mr. Ralph Borchardt I, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St, Duluth, MN 55802 Phone: 218-722-4379 |