Dr Erick Russell Anderson, DC is a medicare enrolled "Chiropractor" provider in Carlton, Minnesota. His current practice location is
210 3rd St, Carlton, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 336-3524.
Dr Erick Russell Anderson is licensed to practice in Minnesota (license number 3803) 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 1710960984.
Healthcare Provider's Profile
| Full Name | Dr Erick Russell Anderson |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 210 3rd St, Carlton, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710960984
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244288041
- Enrollment ID: I20050112000043
Medical Identifiers
Medical identifiers for Dr Erick Russell Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710960984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4768 (Wisconsin) | Secondary |
| 111N00000X | Chiropractor | 3803 (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. Dr Erick Russell Anderson allows following entities to bill medicare on his behalf.
| Provider Name | Lake Superior Community Health Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699708297
PECOS PAC ID: 6608810031
Enrollment ID: O20100928000963 |
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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. Dr Erick Russell Anderson 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 |
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Dr Erick Russell Anderson, DC
2222 E 5th St,
Superior, WI 54880-3709
Ph: (715) 395-5393 | Dr Erick Russell Anderson, DC
210 3rd St,
Carlton, MN 55718-7703
Ph: (218) 336-3524 |
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