2265 W ALTORFER DR
PEORIA, IL 61615-1807 US PECOS Enrolled
Overview
Jaimie M Peterson is a Clinical Social Worker in the PEORIA area. Jaimie M Peterson primary office location is at 2265 W ALTORFER DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003469859 and the information was updated approximately 4 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 149020204 | IL |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Social Worker - Taxonomy Code 1041C0700X | IL | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | - |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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