Christine V Petersen, PSY D - Medicare Psychologist in Evanston, IL

Christine V Petersen, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Evanston, Illinois. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Grand Oaks Behavioral Health Llc and her current practice location is 2530 Crawford Ave Ste 212, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 469-7339.

Christine V Petersen is licensed to practice in Illinois (license number 071006311) 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 1033217385.

Contact Information

Christine V Petersen, PSY D
2530 Crawford Ave Ste 212,
Evanston, IL 60201-4959
(773) 469-7339
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChristine V Petersen
GenderFemale
SpecialityClinical Psychologist
Experience24 Years
Location2530 Crawford Ave Ste 212, Evanston, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christine V Petersen graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1033217385
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113948126
  • Enrollment ID: I20051216000703

Medical Identifiers

Medical identifiers for Christine V Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033217385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071006311 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Oaks Behavioral Health Llc216352390310

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. Christine V Petersen allows following entities to bill medicare on her behalf.
Entity NameGrand Oaks Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124242359
PECOS PAC ID: 2163523903
Enrollment ID: O20070724000609

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. Christine V 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 AddressPractice Location Address
Christine V Petersen, PSY D
2530 Crawford Ave Ste 212,
Evanston, IL 60201-4959

Ph: (773) 469-7339
Christine V Petersen, PSY D
2530 Crawford Ave Ste 212,
Evanston, IL 60201-4959

Ph: (773) 469-7339

Reviews and Comments


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