| Mr Alan Steven Ericksen, MD | |
|
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
| (615) 851-6033 | |
| (615) 851-2018 |
| Full Name | Mr Alan Steven Ericksen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 3024 Business Park Cir, Goodlettsville, Tennessee |
| 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 |
|---|---|---|---|
| 1164477154 | NPI | - | NPPES |
| 1509265 | Other | TN | MEDICAID - MTI |
| 3335347 | Medicaid | TN | |
| 4114096 | Other | TN | BCBS |
| 4291466 | Other | TN | BCBS - MTI |
| 64122591 | Other | KY | KY MEDICAID |
| 1509265 | Medicaid | TN | |
| 4200472 | Other | TN | BCBS TN |
| 3882323 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 37124 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Lower Keys Medical Center | Key west, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20180213003165 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20240430003379 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alan Steven Ericksen, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Mr Alan Steven Ericksen, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 |
Mr. Marc G Soble, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Mr. Michael C Ellis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |