| Dr Kavita K Erickson, MD | |
|
800 E Carpenter St, Springfield, IL 62769-9701 | |
| (217) 544-6464 | |
| Not Available |
| Full Name | Dr Kavita K Erickson |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 800 E Carpenter St, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932205077 | NPI | - | NPPES |
| 200402500 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01056693A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036-145004 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Hospital | Springfield, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| St Francis Hospital | Litchfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daviess County Hospital | 1557271665 | 55 |
| Central Illinois Radiological Associates Ltd | 9436061827 | 162 |
| Touchette Regional Hospital Inc | 7416843370 | 64 |
| Central Illinois Radiological Associates Ltd | 9436061827 | 162 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619154820 PECOS PAC ID: 1557271665 Enrollment ID: O20040412001435 |
| Entity Name | Southern Indiana Imaging Consultants P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972598886 PECOS PAC ID: 2062492291 Enrollment ID: O20040720001194 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20220323000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kavita K Erickson, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Dr Kavita K Erickson, MD 800 E Carpenter St, Springfield, IL 62769-9701 Ph: (217) 544-6464 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |