Stephen L Ericksen, DMD in American Fork, UT

Stephen L Ericksen, DMD is a medicare enrolled "Dentist" provider in American Fork, Utah. His current practice location is 895 N 900 E, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 763-4164.

Stephen L Ericksen is licensed to practice in Utah (license number 5314850-9922) 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 1194807156.

Contact Information

	Stephen L Ericksen, DMD
	895 N 900 E, American Fork, UT 84003-9183
	(801) 763-4164
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen L Ericksen
Gender	Male
Speciality	Dentist
Location	895 N 900 E, American Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194807156
Provider Enumeration Date: 10/19/2006
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6406159755
Enrollment ID: I20160121000387

Medical Identifiers

Medical identifiers for Stephen L Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194807156	NPI	-	NPPES
DD5568	Medicaid	AK
1161	Other	AK	LICENSED DENTIST
5314850-9922	Other	UT	LICENSED DENTIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEND1161 (Alaska)	Secondary
122300000X	Dentist	5314850-9922 (Utah)	Primary

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. Stephen L Ericksen 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
Stephen L Ericksen, DMD 895 N 900 E, American Fork, UT 84003-9183 Ph: (801) 763-4164	Stephen L Ericksen, DMD 895 N 900 E, American Fork, UT 84003-9183 Ph: (801) 763-4164

Reviews and Comments

Dentist in American Fork, UT

Dr. Joseph Doyle Liddle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 North Center, American Fork, UT 84003 Phone: 801-756-3377
Dr. L. Craig Rosvall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 S 1100 E, American Fork, UT 84003 Phone: 801-756-6581 Fax: 801-756-9318
Dr. Greg G Pitts, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9 N 1100 E, American Fork, UT 84003 Phone: 801-763-9000 Fax: 801-763-8300
Dr. Steven Reed Braithwaite, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 N West State Rd, American Fork, UT 84003 Phone: 801-763-7737 Fax: 801-763-7757
Dr. Scott A Tracy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 321 E 300 N, American Fork, UT 84003 Phone: 801-756-0933
Dr. Joel Brandon Richards, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 449 S 650 E, American Fork, UT 84003 Phone: 425-953-6334
Dr. Boley Jacob Greenwood, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 226 N 1100 E, American Fork, UT 84003 Phone: 801-756-6037 Fax: 801-756-6088

Stephen L Ericksen, DMD - Medicare Dentist in American Fork, UT