Carol A Erdman, LCSW, CADCIII is a medicare enrolled "Marriage & Family Therapist" provider in Fort Atkinson, Wisconsin. She graduated from healthcare 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 Family Resources Associates Inc and her current practice location is
335 Whitewater Ave, Fort Atkinson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 691-0200.
Carol A Erdman is licensed to practice in * (Not Available) (license number ) 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 1124101951.
Healthcare Provider's Profile
| Full Name | Carol A Erdman |
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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 | 335 Whitewater Ave, Fort Atkinson, Wisconsin |
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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. |
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Medical Education and Training:
- Carol A Erdman graduated from medical school in 1989
NPI Data:
- NPI Number: 1124101951
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850444613
- Enrollment ID: I20090728000172
Medical Identifiers
Medical identifiers for Carol A Erdman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124101951 | NPI | - | NPPES |
| 39799300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10916 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 3697-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Resources Associates Inc | 5991773699 | 7 |
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. Carol A Erdman allows following entities to bill medicare on her behalf.
| Entity Name | Family Resources Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831202621
PECOS PAC ID: 5991773699
Enrollment ID: O20040921000412 |
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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. Carol A Erdman 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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Carol A Erdman, LCSW, CADCIII
335 Whitewater Ave,
Fort Atkinson, WI 53538-2253
Ph: (920) 691-0200 | Carol A Erdman, LCSW, CADCIII
335 Whitewater Ave,
Fort Atkinson, WI 53538-2253
Ph: (920) 691-0200 |
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