| Jared Erickson, PA-C | |
|
991 Shepard Ln Ste 200, Farmington, UT 84025-2974 | |
| (801) 397-6260 | |
| (801) 397-6262 |
| Full Name | Jared Erickson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 991 Shepard Ln Ste 200, Farmington, Utah |
| 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 |
|---|---|---|---|
| 1407228216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7760523-1206 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tanner Memorial Clinic | 4284547985 | 251 |
| Ogden Clinic Specialty Services Llc | 1658781422 | 131 |
| Entity Name | Tanner Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
| Entity Name | Ogden Clinic Specialty Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Erickson, PA-C Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Jared Erickson, PA-C 991 Shepard Ln Ste 200, Farmington, UT 84025-2974 Ph: (801) 397-6260 |
Evan R Law, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-285-3904 |
Hope Janell Tinsley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 172 N East Promontory Ste 270, Farmington, UT 84025 Phone: 801-382-8238 Fax: 866-560-4702 |
Diana Fletcher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 722 Shepard Ln, Suite 102, Farmington, UT 84025 Phone: 801-447-3377 |
Lindsay Schultz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-295-3411 |
Eric Neil Littlefield, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 |
Mrs. Treesa Steel Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1433 N 1075 W Ste 104, Farmington, UT 84025 Phone: 801-298-1300 Fax: 801-296-6199 |
Taylor Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 444 W Bourne Cir Ste 101, Farmington, UT 84025 Phone: 801-773-4865 |