Timothy M Ericson, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Kennebunk, Maine. He graduated from healthcare school in 1987 and has 37 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
4 Dane St, Kennebunk, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 985-4211.
Timothy M Ericson is licensed to practice in Maine (license number LC2045) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720006943.
Healthcare Provider's Profile
| Full Name | Timothy M Ericson |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 37 Years |
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| Location | 4 Dane St, Kennebunk, Maine |
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| Accepts Medicare Assignments | Yes. He 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:
- Timothy M Ericson graduated from medical school in 1987
NPI Data:
- NPI Number: 1720006943
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 4082629316
- Enrollment ID: I20060208000250
Medical Identifiers
Medical identifiers for Timothy M Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720006943 | NPI | - | NPPES |
| 007005 | Other | ME | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC683 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC2045 (Maine) | 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. Timothy M Ericson allows following entities to bill medicare on his behalf.
| Entity Name | Tim Ericson Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578132569
PECOS PAC ID: 1951707462
Enrollment ID: O20210909000268 |
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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. Timothy M Ericson 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 |
|---|
Timothy M Ericson, LCSW, LADC
95 Parker St,
Newburyport, MA 01950-4033
Ph: (207) 985-4211 | Timothy M Ericson, LCSW, LADC
4 Dane St,
Kennebunk, ME 04043-7054
Ph: (207) 985-4211 |
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