| Kent Edwin Erickson, MD | |
|
409 Lincoln Ave, Erickson Medical Clinic, Llc, Clay Center, KS 67432-2907 | |
| (785) 777-2622 | |
| (785) 777-2623 |
| Full Name | Kent Edwin Erickson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 409 Lincoln Ave, Clay Center, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073516035 | NPI | - | NPPES |
| 100208950A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22435 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 04-22435 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clay County Medical Center | Clay center, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erickson Medical Clinic Llc | 1456648740 | 2 |
| Entity Name | Erickson Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689029464 PECOS PAC ID: 1456648740 Enrollment ID: O20160930000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Edwin Erickson, MD 1024 Lane St, Erickson Medical Clinic, Clay Center, KS 67432-2211 Ph: (785) 632-6415 | Kent Edwin Erickson, MD 409 Lincoln Ave, Erickson Medical Clinic, Llc, Clay Center, KS 67432-2907 Ph: (785) 777-2622 |
Timothy M. Penner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 | |
Eric Anderson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2144 | |
Elizabeth A Koerner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 | |
Allie B Lohrmeyer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 | |
David Christen Larson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 | |
Marian Nelson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 609 Liberty St, Clay Center, KS 67432 Phone: 785-632-2181 Fax: 785-632-2309 |