| Dr Mathew C Erickson, MD | |
|
302-a Bushley Street, Erickson Family Medicine, Harrisonburg, LA 71340-0302 | |
| (318) 744-5504 | |
| (318) 744-5505 |
| Full Name | Dr Mathew C Erickson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 302-a Bushley Street, Harrisonburg, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265642508 | NPI | - | NPPES |
| 1078085 | Medicaid | LA | |
| 09216 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.201826 (Louisiana) | Primary |
| Entity Name | Hospital Service District #2 Of Lasalle Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801825005 PECOS PAC ID: 3971596164 Enrollment ID: O20040628001134 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| Entity Name | Jena Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mathew C Erickson, MD Po Box 2780, Jena, LA 71342-2780 Ph: (318) 992-9200 | Dr Mathew C Erickson, MD 302-a Bushley Street, Erickson Family Medicine, Harrisonburg, LA 71340-0302 Ph: (318) 744-5504 |