Erin Sheridan, LADC, LPC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Brimfield, Massachusetts. Her current practice location is
1 Main St # 120, Brimfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(860) 362-0770.
Erin Sheridan is licensed to practice in Massachusetts (license number 12596MHCC) 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 1568719086.
Healthcare Provider's Profile
| Full Name | Erin Sheridan |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1 Main St # 120, Brimfield, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568719086
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 10/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032550280
- Enrollment ID: I20240518000115
Medical Identifiers
Medical identifiers for Erin Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568719086 | NPI | - | NPPES |
| 004040564 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001092 (Connecticut) | Secondary |
| 101YP2500X | Counselor - Professional | 003436 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | 12596MHCC (Massachusetts) | 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. Erin Sheridan allows following entities to bill medicare on her behalf.
| Entity Name | Beautifully Unbroken Counseling, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528739455
PECOS PAC ID: 8123469376
Enrollment ID: O20240518000108 |
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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. Erin Sheridan 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 |
|---|
Erin Sheridan, LADC, LPC, LMHC
1 Main St # 120,
Brimfield, MA 01010-9800
Ph: (860) 362-0770 | Erin Sheridan, LADC, LPC, LMHC
1 Main St # 120,
Brimfield, MA 01010-9800
Ph: (860) 362-0770 |
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