Corey L Ericksen, DO is a
Family Medicine physician based in Clearfield, Utah. Corey L Ericksen is licensed to practice in Utah (license number 171802-1204) and his current practice location is 600 S State St Ste 2, Clearfield, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 628-8877.
NPI number for Corey L Ericksen is 1912003922 and his current mailing address is 600 S State St Ste 2, Clearfield, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912003922.
Physician's Profile
| Full Name | Corey L Ericksen |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 600 S State St Ste 2, Clearfield, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912003922
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 03/24/2026
Medical Identifiers
Medical identifiers for Corey L Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912003922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 171802-1204 (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. Corey L Ericksen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Corey L Ericksen, DO 600 S State St Ste 2, Clearfield, UT 84015-1210 Ph: (801) 628-8877 | Corey L Ericksen, DO 600 S State St Ste 2, Clearfield, UT 84015-1210 Ph: (801) 628-8877 |
Reviews and Comments