Mrs Erin Kristine Church, LICSW in Fridley, MN - Medicare Clinical Social Worker Provider

Mrs Erin Kristine Church, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fridley, Minnesota. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Allina Health System and her current practice location is 500 Osborne Rd Ne Ste 255, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 786-6011.

Mrs Erin Kristine Church is licensed to practice in Minnesota (license number 27331) 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 1083226112.

Contact Information

	Mrs Erin Kristine Church, LICSW
	500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768
	(763) 786-6011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Erin Kristine Church
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	500 Osborne Rd Ne Ste 255, Fridley, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Erin Kristine Church graduated from medical school in 2016

NPI Data:

NPI Number: 1083226112
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 2365860376
Enrollment ID: I20200908001710

Medical Identifiers

Medical identifiers for Mrs Erin Kristine Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083226112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27331 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3071

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. Mrs Erin Kristine Church allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Mrs Erin Kristine Church 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
Mrs Erin Kristine Church, LICSW 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Mrs Erin Kristine Church, LICSW 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 Ph: (763) 786-6011

Reviews and Comments

Social Worker in Fridley, MN

Kimberly E Schultz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338
Charlette Kay Carlotto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299
Carolyn Sarah Menger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338
Amanda Boelen Harrington, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036
Shannon Martina Rapalo Medina, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-913-9184
Christine Dumke, M.S.W. L.G.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605

Mrs Erin Kristine Church, LICSW - Medicare Clinical Social Worker in Fridley, MN