Miss Alisa Erickson, is a medicare enrolled "Social Worker - Clinical" provider in Provo, Utah. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wasatch Behavioral Health Special Service District and her current practice location is
750 N Freedom Blvd, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 373-4760.
Miss Alisa Erickson is licensed to practice in * (Not Available) (license number ) 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 1851604276.
Healthcare Provider's Profile
| Full Name | Miss Alisa Erickson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 750 N Freedom Blvd, Provo, Utah |
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| 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:
- Miss Alisa Erickson graduated from medical school in 2013
NPI Data:
- NPI Number: 1851604276
- Provider Enumeration Date: 07/15/2010
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274860903
- Enrollment ID: I20190802002912
Medical Identifiers
Medical identifiers for Miss Alisa Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851604276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wasatch Behavioral Health Special Service District | 2567367915 | 78 |
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. Miss Alisa Erickson allows following entities to bill medicare on her behalf.
| Entity Name | Wasatch Behavioral Health Special Service District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
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| Entity Name | State Of Utah |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195 |
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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. Miss Alisa Erickson 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 |
Miss Alisa Erickson, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Miss Alisa Erickson, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
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