Brent Erickson, MS, SAC is a
Social Worker based in Portage, Wisconsin. Brent Erickson is licensed to practice in Wisconsin (license number 1783-123) and his current practice location is
2901 Hunters Trl, Portage, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 742-5518.
NPI number for Brent Erickson is 1295836567 and his current mailing address is 2901 Hunters Trl, P.o. Box 301, Portage, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295836567.
Healthcare Provider's Profile
| Full Name | Brent Erickson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 2901 Hunters Trl, Portage, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295836567
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 05/21/2015
Medical Identifiers
Medical identifiers for Brent Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295836567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1521 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1783-123 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 1783-123 (Wisconsin) | Primary |
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. Brent Erickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brent Erickson, MS, SAC
2901 Hunters Trl, P.o. Box 301,
Portage, WI 53901-3403
Ph: (608) 742-5518 | Brent Erickson, MS, SAC
2901 Hunters Trl,
Portage, WI 53901-3403
Ph: (608) 742-5518 |
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