Mr Clayton Richard Peterson, LCSW - Medicare Clinical Social Worker in Elkhorn, WI

Mr Clayton Richard Peterson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Elkhorn, Wisconsin. His current practice location is 1910 County Road Nn, Elkhorn, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 741-3200.

Mr Clayton Richard Peterson is licensed to practice in Wisconsin (license number 9722-123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912662008.

Contact Information

Mr Clayton Richard Peterson, LCSW
1910 County Road Nn,
Elkhorn, WI 53121-4454
(262) 741-3200
Not Available



Healthcare Provider's Profile

Full NameMr Clayton Richard Peterson
GenderMale
SpecialitySocial Worker - Clinical
Location1910 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912662008
  • Provider Enumeration Date: 11/03/2021
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002205754
  • Enrollment ID: I20211118000061

Medical Identifiers

Medical identifiers for Mr Clayton Richard Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912662008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9722-123 (Wisconsin)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. Mr Clayton Richard Peterson allows following entities to bill medicare on his behalf.
Entity NameCounty Of Walworth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588733307
PECOS PAC ID: 6002872835
Enrollment ID: O20041203000437

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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. Mr Clayton Richard 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 AddressPractice Location Address
Mr Clayton Richard Peterson, LCSW
Po Box 1005,
Elkhorn, WI 53121-1005

Ph: (262) 741-3200
Mr Clayton Richard Peterson, LCSW
1910 County Road Nn,
Elkhorn, WI 53121-4454

Ph: (262) 741-3200

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Social Worker in Elkhorn, WI

Ashley Lynch,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 317 Westlawn Ave, Elkhorn, WI 53121
Phone: 414-507-6186    
Liza Jayne Drake, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: W4051 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-3200    Fax: 262-741-3315
Kristi L Reynolds,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1910 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-3200    Fax: 262-741-3217
Cassandra Abel, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121
Phone: 262-723-3424    
Jessica Christine Doherty, MSW, LCSW, CSAC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 128 W Hidden Trl Apt 101, Elkhorn, WI 53121
Phone: 847-693-6942    
Nicole E Heinrich, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1910 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-3200    
Mr. Lee Joel Christensen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: W4051 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-3200    

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