Sarah Jane Petersen, LCSW in Beloit, WI - Medicare Counselor Provider

Sarah Jane Petersen, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Beloit, Wisconsin. Her current practice location is 540 E Grand Ave, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 368-8087.

Sarah Jane Petersen is licensed to practice in * (Not Available) (license number ) 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 1073228607.

Contact Information

	Sarah Jane Petersen, LCSW
	540 E Grand Ave, Beloit, WI 53511-6314
	(608) 368-8087
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sarah Jane Petersen
Gender	Female
Speciality	Counselor - Mental Health
Location	540 E Grand Ave, Beloit, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073228607
Provider Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7719337542
Enrollment ID: I20231220001260

Medical Identifiers

Medical identifiers for Sarah Jane Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073228607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Sarah Jane Petersen allows following entities to bill medicare on her behalf.

Entity Name	Stateline Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000

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. Sarah Jane 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
Sarah Jane Petersen, LCSW 540 E Grand Ave, Beloit, WI 53511-6314 Ph: (608) 368-8087	Sarah Jane Petersen, LCSW 540 E Grand Ave, Beloit, WI 53511-6314 Ph: (608) 368-8087

Reviews and Comments

Counselor in Beloit, WI

Mr. Gregory Arthur Ammon, LPC MS NCC Counselor Medicare: Medicare Enrolled Practice Location: 1969 W Hart Road, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Rhonda S Doherty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Cetner, Beloit, WI 53511 Phone: 608-363-6200
Mr. Haven Macgregor Mcclure, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 815-276-4432 Fax: 608-713-9040
Mrs. Sally J Greer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Mary T Pauli, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 136 W Grand Ave Ste 250, Beloit, WI 53511 Phone: 608-346-8315
Mrs. Cristina Lynne Kroeze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Counseling Care Center, Beloit, WI 53511 Phone: 608-364-5686

Sarah Jane Petersen, LCSW - Medicare Counselor in Beloit, WI