Mr Erik Michael Adolphson, LICSW in Faribault, MN - Medicare Social Worker Provider

Mr Erik Michael Adolphson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Faribault, Minnesota. His current practice location is 400 4th St Nw, Faribault, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 384-6830.

Mr Erik Michael Adolphson is licensed to practice in Minnesota (license number 27821) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063760742.

Contact Information

	Mr Erik Michael Adolphson, LICSW
	400 4th St Nw, Faribault, MN 55021-5089
	(507) 384-6830
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Erik Michael Adolphson
Gender	Male
Speciality	Social Worker - Clinical
Location	400 4th St Nw, Faribault, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063760742
Provider Enumeration Date: 08/28/2012
Last Update Date: 06/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2961937958
Enrollment ID: I20241127003121

Medical Identifiers

Medical identifiers for Mr Erik Michael Adolphson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063760742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27821 (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. Mr Erik Michael Adolphson allows following entities to bill medicare on his behalf.

Entity Name	Anoka Metro Regional Treatment Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275585564 PECOS PAC ID: 9335135375 Enrollment ID: O20040423000711

Entity Name	Southern Cities Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437218740 PECOS PAC ID: 7517912991 Enrollment ID: O20050318000140

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. Mr Erik Michael Adolphson 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
Mr Erik Michael Adolphson, LICSW 400 4th St Nw, Faribault, MN 55021-5089 Ph: () -	Mr Erik Michael Adolphson, LICSW 400 4th St Nw, Faribault, MN 55021-5089 Ph: (507) 384-6830

Reviews and Comments

Social Worker in Faribault, MN

Taylor Derosier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100
Mrs. Sadie Elizabeth Watts, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 3rd Ave Nw, Faribault, MN 55021 Phone: 507-720-8011
Mr. David James Rabine-young, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 Woodland Dr, Faribault, MN 55021 Phone: 507-334-3992
Maritza Judith Navarro, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 Fax: 833-974-2090
Mr. David Michael Karim, MBA, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-384-4470
Janine M. Brady, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 260, Faribault, MN 55021 Phone: 507-573-1046

Mr Erik Michael Adolphson, LICSW - Medicare Clinical Social Worker in Faribault, MN