Mr Mitchell D Erickson, PA is a medicare enrolled "Emergency Medicine" in Goodyear, Arizona. His current practice location is
13677 W Mcdowell Rd, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 882-1500.
Mr Mitchell D Erickson is licensed to practice in Arizona (license number 2438) 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 1073598355.
Provider's Profile
| Full Name | Mr Mitchell D Erickson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073598355
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012953805
- Enrollment ID: I20050701000309
Medical Identifiers
Medical identifiers for Mr Mitchell D Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073598355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2438 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | 2438 (Arizona) | 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. Mr Mitchell D Erickson allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Physicians Southwest PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
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| Entity Name | Emergency Group of Arizona Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
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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. Mr Mitchell D Erickson 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 |
Mr Mitchell D Erickson, PA 23968 North 83rd Lane, Peoria, AZ 85383 Ph: (623) 935-9328 | Mr Mitchell D Erickson, PA 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 Ph: (623) 882-1500 |
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