| Keith P Erickson, PA-C | |
|
11603 State Ave, Suite G, Marysville, WA 98271-8465 | |
| (360) 653-6500 | |
| Not Available |
| Full Name | Keith P Erickson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 11603 State Ave, Marysville, Washington |
| 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 |
|---|---|---|---|
| 1225009061 | NPI | - | NPPES |
| 263798 | Other | WA | LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3034 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence At Home With Compassus, Snohomish County | Everett, WA | Home health agency |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services- Washington | 8325100480 | 527 |
| Entity Name | Public Hospital Dist No 1 Skagit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059 |
| Entity Name | Providence Health & Services- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith P Erickson, PA-C Po Box 3360, Portland, OR 97208-3360 Ph: Not Available | Keith P Erickson, PA-C 11603 State Ave, Suite G, Marysville, WA 98271-8465 Ph: (360) 653-6500 |
Adelaide Horne, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2335 172nd St Ne, Marysville, WA 98271 Phone: 360-651-1550 |
Mrs. Robin Lynn Atkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2335 172nd St Ne, Marysville, WA 98271 Phone: 360-651-1550 |
Cameryn Elizabeth-anne Grassanovits, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7495 Fax: 425-252-4441 |
Jennifer Reh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1953 |
Ms. Kristen Jan Kafer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991 |
Dylan Pearce, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4404 80th St Ne, Marysville, WA 98270 Phone: 360-659-1231 Fax: 360-659-7267 |
Deja Link, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4404 80th St Ne, Marysville, WA 98270 Phone: 360-659-1231 |