Erica Lynne Gruidl, LMFT in Champlin, MN - Medicare Marriage & Family Therapist Provider

Erica Lynne Gruidl, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Champlin, Minnesota. Her current practice location is 11116 Zealand Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 746-0842.

Erica Lynne Gruidl is licensed to practice in Minnesota (license number 3593) 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 1720556657.

Contact Information

	Erica Lynne Gruidl, LMFT
	11116 Zealand Ave N, Champlin, MN 55316-3594
	(763) 746-0842
	(763) 746-0843

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Lynne Gruidl
Gender	Female
Speciality	Marriage & Family Therapist
Location	11116 Zealand Ave N, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720556657
Provider Enumeration Date: 11/08/2018
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 5395189005
Enrollment ID: I20240221003406

Medical Identifiers

Medical identifiers for Erica Lynne Gruidl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720556657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3593 (Minnesota)	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. Erica Lynne Gruidl allows following entities to bill medicare on her behalf.

Entity Name	Rush Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801942040 PECOS PAC ID: 8224131750 Enrollment ID: O20070321000265

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. Erica Lynne Gruidl 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
Erica Lynne Gruidl, LMFT 11116 Zealand Ave N, Champlin, MN 55316-3594 Ph: (763) 746-0842	Erica Lynne Gruidl, LMFT 11116 Zealand Ave N, Champlin, MN 55316-3594 Ph: (763) 746-0842

Reviews and Comments

Marriage & Family Therapist in Champlin, MN

Mrs. Shelly Marie Davenport, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-951-3091 Fax: 763-951-3097
Dr. Paul John Dousi, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6300 117th Ave N, Champlin, MN 55316 Phone: 763-458-0154 Fax: 763-427-5688
Mrs. Christy L Kane, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 763-401-7318 Fax: 763-220-6025
Gary R Sandberg, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-291-7065
Anne M Carroll, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 612-991-8949
Daniel Golat, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-951-3091

Erica Lynne Gruidl, LMFT - Medicare Couples Therapy in Champlin, MN