Erin Nicole Buller, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Columbia Heights, Minnesota. Her current practice location is
825 41st Ave Ne, Columbia Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 706-8125.
Erin Nicole Buller is licensed to practice in Minnesota (license number 22171) 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 1659090033.
Healthcare Provider's Profile
| Full Name | Erin Nicole Buller |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 825 41st Ave Ne, Columbia Heights, 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: 1659090033
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547705105
- Enrollment ID: I20240709000243
Medical Identifiers
Medical identifiers for Erin Nicole Buller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659090033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 22171 (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. Erin Nicole Buller allows following entities to bill medicare on her behalf.
| Entity Name | Canvas Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922051325
PECOS PAC ID: 8729073978
Enrollment ID: O20040416001178 |
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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. Erin Nicole Buller 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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Erin Nicole Buller, LICSW
10077 Dogwood St Nw Ste 200,
Coon Rapids, MN 55448-5287
Ph: (651) 443-1923 | Erin Nicole Buller, LICSW
825 41st Ave Ne,
Columbia Heights, MN 55421-2910
Ph: (763) 706-8125 |
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