M Ericksen, MD in Salt Lake City, UT - Medicare Anesthesiology

M Ericksen, MD is a medicare enrolled "Anesthesiology" physician in Salt Lake City, Utah. His current practice location is 100 N. Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-3578.

M Ericksen is licensed to practice in Utah (license number 363155-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952338808.

Contact Information

	M Ericksen, MD
	100 N. Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-3578
	Not Available

Map and Direction

Physician's Profile

Full Name	M Ericksen
Gender	Male
Speciality	Anesthesiology
Location	100 N. Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952338808
Provider Enumeration Date: 06/27/2006
Last Update Date: 10/28/2011

Medicare PECOS Information:

PECOS PAC ID: 0143322388
Enrollment ID: I20070219000722

Medical Identifiers

Medical identifiers for M Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952338808	NPI	-	NPPES
77988	Other	UT	HEALTHY U
806196700	Medicaid	ID
120083600	Medicaid	WY
36315512000001	Other	UT	BCBS
693497	Other	UT	DESERET MUTUAL
878407	Medicaid	AZ
100504905	Other	UT	FIRST HEALTH
219176	Other	UT	ALTIUS
78899	Other	UT	PEHP
0153221	Medicaid	MT
870280408MTY	Other	UT	EDUCATORS MUTUAL
PRA06245	Other	UT	MOLINA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	363155-1205 (Utah)	Primary

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. M Ericksen allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Anesthesiologists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152

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. M Ericksen 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
M Ericksen, MD 100 N. Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-3578	M Ericksen, MD 100 N. Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-3578

Reviews and Comments

Anesthesiology Doctors in Salt Lake City, UT

Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393
Dennis L. Morris, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618
Zachary R. Jergensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108 Phone: 801-581-6393

M Ericksen, MD - Medicare Anesthesiology in Salt Lake City, UT