Alyssa Erickson, is a medicare enrolled "Case Manager/care Coordinator" provider in Chula Vista, California. Her current practice location is
855 3rd Ave Ste 1110, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at
(619) 934-5770.
Alyssa Erickson is licensed to practice in * (Not Available) (license number ) 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 1376732669.
Healthcare Provider's Profile
| Full Name | Alyssa Erickson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 855 3rd Ave Ste 1110, Chula Vista, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1376732669
- Provider Enumeration Date: 10/23/2007
- Last Update Date: 10/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941644413
- Enrollment ID: I20240223000683
Medical Identifiers
Medical identifiers for Alyssa Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376732669 | NPI | - | NPPES |
| PCI #258 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PCI #258 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Alyssa Erickson allows following entities to bill medicare on her behalf.
| Entity Name | Community Research Foundation Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952328700
PECOS PAC ID: 6800825332
Enrollment ID: O20050804001256 |
|---|
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. Alyssa Erickson 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 |
|---|
Alyssa Erickson,
855 3rd Ave Ste 1110,
Chula Vista, CA 91911-1350
Ph: (619) 934-5770 | Alyssa Erickson,
855 3rd Ave Ste 1110,
Chula Vista, CA 91911-1350
Ph: (619) 934-5770 |
Reviews and Comments