Tracy Anne Ericson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mt Pleasant Mills, Pennsylvania. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Diakon Child Family And Community Ministries and her current practice location is
9627 Route 35, Mt Pleasant Mills, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 539-2561.
Tracy Anne Ericson is licensed to practice in Pennsylvania (license number CW020382) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063600302.
Healthcare Provider's Profile
Full Name | Tracy Anne Ericson |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 35 Years |
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Location | 9627 Route 35, Mt Pleasant Mills, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tracy Anne Ericson graduated from medical school in 1989
NPI Data:
- NPI Number: 1063600302
- Provider Enumeration Date: 10/11/2007
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406267996
- Enrollment ID: I20201207000245
Medical Identifiers
Medical identifiers for Tracy Anne Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063600302 | NPI | - | NPPES |
1034300800002 | Medicaid | PA | |
6W5479 | Other | PA | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW020382 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Diakon Child Family And Community Ministries | 8820310279 | 2 |
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. Tracy Anne Ericson allows following entities to bill medicare on her behalf.
Entity Name | Diakon Child Family & Community Ministries |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861802035 PECOS PAC ID: 8820310279 Enrollment ID: O20141215000318 |
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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. Tracy Anne Ericson 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 |
Tracy Anne Ericson, LCSW 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Tracy Anne Ericson, LCSW 9627 Route 35, Mt Pleasant Mills, PA 17853-8409 Ph: (570) 539-2561 |
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