Bethany Ericson, RD, LD in Ontario, OR - Medicare Registered Dietitian Or Nutrition Professional Provider

Bethany Ericson, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Ontario, Oregon. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 351 Sw 9th St, Ontario, Oregon. You can reach out to her office (for appointments etc.) via phone at (208) 899-7933.

Bethany Ericson is licensed to practice in Oregon (license number LDD10158487) 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 1710308804.

Contact Information

	Bethany Ericson, RD, LD
	351 Sw 9th St, Ontario, OR 97914-2639
	(208) 899-7933
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Ericson
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	13 Years
Location	351 Sw 9th St, Ontario, Oregon
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:

Bethany Ericson graduated from medical school in 2012

NPI Data:

NPI Number: 1710308804
Provider Enumeration Date: 12/17/2013
Last Update Date: 08/15/2019

Medicare PECOS Information:

PECOS PAC ID: 3072878727
Enrollment ID: I20180529003143

Medical Identifiers

Medical identifiers for Bethany Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710308804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-778 (Idaho)	Secondary
133V00000X	Dietitian, Registered	LDD10158487 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	1062

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. Bethany Ericson allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Bethany Ericson 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
Bethany Ericson, RD, LD 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (208) 899-7933	Bethany Ericson, RD, LD 351 Sw 9th St, Ontario, OR 97914-2639 Ph: (208) 899-7933

Reviews and Comments

Dietitian, Registered in Ontario, OR

Valerie Lawrence, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7026 Fax: 541-881-7147
Kristin Lee Mcelliott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7373 Fax: 541-881-7186
Emily Christine Spellman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7192
Tiffany Geniece Scott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7480 Fax: 541-881-7186
Deborah A Hampton, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Saint Alphonsus Medical Center-ontario, Ontario, OR 97914 Phone: 541-881-7480 Fax: 541-881-7147
Ellie Nagel, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7192 Fax: 541-881-7147

Bethany Ericson, RD, LD - Medicare Dietitian in Ontario, OR