Dr Connie Lynn Petersen, PHD in Norfolk, NE - Medicare Clinical Psychologist Provider

Dr Connie Lynn Petersen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Norfolk, Nebraska. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Oasis Counseling International and her current practice location is 1900 Vicki Ln, Norfolk, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 370-3140.

Dr Connie Lynn Petersen is licensed to practice in Nebraska (license number 724) 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 1598958811.

Contact Information

	Dr Connie Lynn Petersen, PHD
	1900 Vicki Ln, Norfolk, NE 68701-4558
	(402) 370-3140
	(402) 370-3373

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Connie Lynn Petersen
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	1900 Vicki Ln, Norfolk, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Connie Lynn Petersen graduated from medical school in 2007

NPI Data:

NPI Number: 1598958811
Provider Enumeration Date: 08/21/2007
Last Update Date: 04/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7113096835
Enrollment ID: I20090908000584

Medical Identifiers

Medical identifiers for Dr Connie Lynn Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598958811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	310 (Nebraska)	Secondary
103TC0700X	Psychologist - Clinical	724 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oasis Counseling International	1456367168	3

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. Dr Connie Lynn Petersen allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508920216 PECOS PAC ID: 7214980234 Enrollment ID: O20050301000965

Entity Name	Oasis Counseling International
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588629612 PECOS PAC ID: 1456367168 Enrollment ID: O20060303000352

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. Dr Connie Lynn 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
Dr Connie Lynn Petersen, PHD 1900 Vicki Ln, Norfolk, NE 68701-4558 Ph: (402) 370-3140	Dr Connie Lynn Petersen, PHD 1900 Vicki Ln, Norfolk, NE 68701-4558 Ph: (402) 370-3140

Reviews and Comments

Psychologist in Norfolk, NE

Dr. Steven Andrew Westby I, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1306 N 13th St, Norfolk, NE 68701 Phone: 402-371-8218 Fax: 402-371-8259
Dr. Thomas Milton Wilson, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 900 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-370-3140 Fax: 402-370-3373
Jean Agnes Laing, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 N Victory Rd, Box 1209, Norfolk, NE 68701 Phone: 402-370-3400
Dr. Michael Bernard Lacrosse, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1309 N 9th St, Norfolk, NE 68701 Phone: 402-371-5306 Fax: 402-844-3828
Chelsea K Race, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 W Norfolk Ave Ste 201, Norfolk, NE 68701 Phone: 402-379-2030 Fax: 402-379-3933
Eric Snitchler, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1306 Andrews Drive, Norfolk, NE 68701 Phone: 402-851-4026 Fax: 402-379-2487
Mark David Nelson, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 328 W Norfolk Ave, Norfolk, NE 68701 Phone: 402-379-2268 Fax: 402-371-7631

Dr Connie Lynn Petersen, PHD - Medicare Psychologist in Norfolk, NE