PETER TALLMAN LCSW
NPI 1306100557
Social Worker in Dillingham, AK

NPI Status: Active since July 02, 2012

Contact Information

6000 KANAKANAK
DILLINGHAM, AK
ZIP 99576
Phone: (907) 842-1230
Fax: (907) 842-5174

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  • Individual
  • Male
  • Social Worker
  • Accepts Insurance
  • Opted-Out Medicare

About PETER TALLMAN

This page provides the complete NPI Profile along with additional information for Peter Tallman, a provider established in Dillingham, Alaska with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1306100557 assigned on July 2012. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1306100557
Provider Name
PETER TALLMAN LCSW
Gender
Male
Entity Type
Individual
Location Address
6000 KANAKANAK DILLINGHAM, AK 99576
Location Phone
(907) 842-1230
Location Fax
(907) 842-5174
Mailing Address
6000 KANAKANAK DILLINGHAM, AK 99576
Mailing Phone
(907) 842-1230
Mailing Fax
(907) 842-5174
Is Sole Proprietor?
Yes
Enumeration Date
07-02-2012
Last Update Date
07-26-2013
Code Navigator

A social worker like Peter Tallman helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Tallman opted out of Medicare effective on 10-01-2025 until 10-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2025

  • Opt-Out End Date: 10-01-2027

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306100557, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 2 + 0 + 0 + 5 + 1 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1306100557.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
6000 KANAKANAK
DILLINGHAM, AK 99576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306100557, enumerated as an "individual" on July 02, 2012.

The provider is located at 6000 KANAKANAK DILLINGHAM, AK 99576 and the phone number is (907) 842-1230.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.