Mrs Stephanie Peterson, MA in Cambridge, MN - Medicare Speech-Language Pathologist Provider

Mrs Stephanie Peterson, MA is a medicare enrolled "Speech-language Pathologist" provider in Cambridge, Minnesota. Her current practice location is 1994 E Rum River Dr S, Cambridge, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 689-5385.

Mrs Stephanie Peterson is licensed to practice in Minnesota (license number 9835) 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 1790927713.

Contact Information

	Mrs Stephanie Peterson, MA
	1994 E Rum River Dr S, Cambridge, MN 55008-2663
	(763) 689-5385
	(763) 689-5558

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stephanie Peterson
Gender	Female
Speciality	Speech-language Pathologist
Location	1994 E Rum River Dr S, Cambridge, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790927713
Provider Enumeration Date: 04/06/2009
Last Update Date: 03/28/2018

Medicare PECOS Information:

PECOS PAC ID: 2264817923
Enrollment ID: I20220915002216

Medical Identifiers

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

Identifier	Type	State	Issuer
1790927713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9835 (Minnesota)	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. Mrs Stephanie Peterson allows following entities to bill medicare on her behalf.

Provider Name	Children's Therapy Works, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811077977 PECOS PAC ID: 9032111885 Enrollment ID: O20070207000121

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. Mrs Stephanie 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
Mrs Stephanie Peterson, MA 1994 E Rum River Dr S, Cambridge, MN 55008-2663 Ph: (763) 689-5385	Mrs Stephanie Peterson, MA 1994 E Rum River Dr S, Cambridge, MN 55008-2663 Ph: (763) 689-5385

Reviews and Comments

Speech-Language Pathologist in Cambridge, MN

Denise Nordeen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385
Rachel Johannes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385
Emily Waldoch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385
Molly Mcvey-mues, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-688-9964
Mrs. Janette Marie Nieuwsma, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7782 Fax: 763-689-7716
Allison Luehrs, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-688-9983 Fax: 763-688-7716

Mrs Stephanie Peterson, MA - Medicare Speech-Language Pathologist in Cambridge, MN