Erica Rae Cournoyer, - Medicare Clinical Social Worker in Forest Lake, MN

Erica Rae Cournoyer, is a medicare enrolled "Social Worker - Clinical" provider in Forest Lake, Minnesota. Her current practice location is 18323 July Ave N, Forest Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 329-9476.

Erica Rae Cournoyer is licensed to practice in Minnesota (license number 24336) 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 1144957143.

Contact Information

Erica Rae Cournoyer,
18323 July Ave N,
Forest Lake, MN 55025-9788
(651) 329-9476
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameErica Rae Cournoyer
GenderFemale
SpecialitySocial Worker - Clinical
Location18323 July Ave N, Forest Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144957143
  • Provider Enumeration Date: 08/01/2022
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385006097
  • Enrollment ID: I20230811002803

Medical Identifiers

Medical identifiers for Erica Rae Cournoyer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144957143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 24336 (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 Rae Cournoyer allows following entities to bill medicare on her behalf.
Entity NameAcres For Life Therapy & Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053702910
PECOS PAC ID: 3173983038
Enrollment ID: O20230724003484

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 Rae Cournoyer 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 AddressPractice Location Address
Erica Rae Cournoyer,
28395 Lakeside Way,
Lindstrom, MN 55045-4403

Ph: (651) 329-9476
Erica Rae Cournoyer,
18323 July Ave N,
Forest Lake, MN 55025-9788

Ph: (651) 329-9476

Reviews and Comments


Social Worker in Forest Lake, MN

Mai Khou Yang, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 708 W Broadway Ave Ste A, Forest Lake, MN 55025
Phone: 651-408-5154    
Susan Kreulen, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 20 Lake St N, Suite 210, Forest Lake, MN 55025
Phone: 612-672-1514    Fax: 651-464-4847
Adrienne M Kovar, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 1068 Lake St S, Ste 109, Forest Lake, MN 55025
Phone: 651-982-4792    Fax: 651-982-6035
Cassie Nieman, M.A.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 555 W Broadway Ave, Suites 2 And 3, Forest Lake, MN 55025
Phone: 651-251-5226    Fax: 651-251-5279
Ms. Elizabeth Anne Mcinerney, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 882 Sw 15th Avenue, Forest Lake, MN 55025
Phone: 651-464-2194    
Gary Goolsbee, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 121 11th Ave Se, Forest Lake, MN 55025
Phone: 651-251-5220    Fax: 651-251-5279

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.