Mr Robert Henry Ericson Jr, is a
Social Worker - Clinical based in S Chatham, Massachusetts. Mr Robert Henry Ericson Jr is licensed to practice in Massachusetts (license number 1016687) and his current practice location is
2642 Main St, S Chatham, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 430-8230.
NPI number for Mr Robert Henry Ericson Jr is 1710033543 and his current mailing address is 2642 Main St, S Chatham, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710033543.
Healthcare Provider's Profile
Full Name | Mr Robert Henry Ericson Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2642 Main St, S Chatham, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710033543
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Robert Henry Ericson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710033543 | NPI | - | NPPES |
016687 | Other | MA | TUFTS |
P04805 | Other | MA | BCBS |
04343911901 | Other | MA | HP PACIFICARE |
254713 | Other | MA | MBC HMO BLUE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1016687 (Massachusetts) | Primary |
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 Robert Henry Ericson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert Henry Ericson Jr, 2642 Main St, S Chatham, MA 02659 Ph: (508) 430-8230 | Mr Robert Henry Ericson Jr, 2642 Main St, S Chatham, MA 02659 Ph: (508) 430-8230 |
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