Adam Charles Corcoran, is a medicare enrolled "Social Worker - Clinical" provider in Sartell, Minnesota. His current practice location is
101 Dehler Dr, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 253-3512.
Adam Charles Corcoran is licensed to practice in Minnesota (license number 24776) 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 1225597412.
Healthcare Provider's Profile
Full Name | Adam Charles Corcoran |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 101 Dehler Dr, Sartell, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225597412
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092163915
- Enrollment ID: I20231201002309
Medical Identifiers
Medical identifiers for Adam Charles Corcoran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225597412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 24776 (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. Adam Charles Corcoran allows following entities to bill medicare on his behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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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. Adam Charles Corcoran 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 |
Adam Charles Corcoran, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Adam Charles Corcoran, 101 Dehler Dr, Sartell, MN 56377-4407 Ph: (320) 253-3512 |
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