Susane Erickson, LMHC in Saint Augustine, FL - Medicare Counselor Provider

Susane Erickson, LMHC is a medicare enrolled "Counselor - Professional" provider in Saint Augustine, Florida. Her current practice location is 3910 Lewis Speedway Ste 1103, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 829-2273.

Susane Erickson is licensed to practice in West Virginia (license number 2000) 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 1629067004.

Contact Information

	Susane Erickson, LMHC
	3910 Lewis Speedway Ste 1103, Saint Augustine, FL 32084-8649
	(904) 829-2273
	(904) 824-0724

Map and Direction

Healthcare Provider's Profile

Full Name	Susane Erickson
Gender	Female
Speciality	Counselor - Professional
Location	3910 Lewis Speedway Ste 1103, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629067004
Provider Enumeration Date: 10/18/2005
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0840716551
Enrollment ID: I20250425000490

Medical Identifiers

Medical identifiers for Susane Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629067004	NPI	-	NPPES
766307200	Medicaid	FL
Z086G	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH7654 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	7654 (Florida)	Secondary
101YP2500X	Counselor - Professional	2000 (West Virginia)	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. Susane Erickson allows following entities to bill medicare on her behalf.

Entity Name	Epic Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831279280 PECOS PAC ID: 5193254290 Enrollment ID: O20250117001649

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. Susane 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
Susane Erickson, LMHC 3910 Lewis Speedway Ste 1103, Saint Augustine, FL 32084-8649 Ph: (904) 829-2273	Susane Erickson, LMHC 3910 Lewis Speedway Ste 1103, Saint Augustine, FL 32084-8649 Ph: (904) 829-2273

Reviews and Comments

Counselor in Saint Augustine, FL

Ashley Janz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Winterhawk Dr, Saint Augustine, FL 32086 Phone: 904-377-6312
Barbara Jenkin, MA,CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 248 Southpark Cir E, Saint Augustine, FL 32086 Phone: 410-703-4133 Fax: 904-797-5681
Lisa Britt, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Hampton Point Dr Ste 1, Saint Augustine, FL 32092 Phone: 904-466-1106
Crystal Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Stokes Creek Dr, Saint Augustine, FL 32095 Phone: 276-790-8673
Katie Mignon, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Caminha Rd, Saint Augustine, FL 32084 Phone: 904-788-6878
William Caige Mcauliffe, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Caliza Cir Apt 8208, Saint Augustine, FL 32084 Phone: 904-417-8078
Erica Givens, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Plantation Island Dr S Ste 201a, Saint Augustine, FL 32080 Phone: 904-770-7587

Susane Erickson, LMHC - Medicare Counselor in Saint Augustine, FL