Erica Rae Cournoyer, in Forest Lake, MN - Medicare Social Worker Provider

Erica Rae Cournoyer, is a medicare enrolled "Social Worker - Clinical" provider in Forest Lake, Minnesota. Her current practice location is 18323 July Ave N, Forest Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 329-9476.

Erica Rae Cournoyer is licensed to practice in Minnesota (license number 24336) 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 1144957143.

Contact Information

	Erica Rae Cournoyer,
	18323 July Ave N, Forest Lake, MN 55025-9788
	(651) 329-9476
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Rae Cournoyer
Gender	Female
Speciality	Social Worker - Clinical
Location	18323 July Ave N, Forest Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144957143
Provider Enumeration Date: 08/01/2022
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4385006097
Enrollment ID: I20230811002803

Medical Identifiers

Medical identifiers for Erica Rae Cournoyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144957143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	24336 (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. Erica Rae Cournoyer allows following entities to bill medicare on her behalf.

Entity Name	Acres For Life Therapy & Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053702910 PECOS PAC ID: 3173983038 Enrollment ID: O20230724003484

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. Erica Rae Cournoyer 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
Erica Rae Cournoyer, 28395 Lakeside Way, Lindstrom, MN 55045-4403 Ph: (651) 329-9476	Erica Rae Cournoyer, 18323 July Ave N, Forest Lake, MN 55025-9788 Ph: (651) 329-9476

Reviews and Comments

Social Worker in Forest Lake, MN

Mai Khou Yang, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 W Broadway Ave Ste A, Forest Lake, MN 55025 Phone: 651-408-5154
Susan Kreulen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N, Suite 210, Forest Lake, MN 55025 Phone: 612-672-1514 Fax: 651-464-4847
Adrienne M Kovar, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1068 Lake St S, Ste 109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035
Cassie Nieman, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Suites 2 And 3, Forest Lake, MN 55025 Phone: 651-251-5226 Fax: 651-251-5279
Ms. Elizabeth Anne Mcinerney, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 882 Sw 15th Avenue, Forest Lake, MN 55025 Phone: 651-464-2194
Gary Goolsbee, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 11th Ave Se, Forest Lake, MN 55025 Phone: 651-251-5220 Fax: 651-251-5279

Erica Rae Cournoyer, - Medicare Clinical Social Worker in Forest Lake, MN