Dr Mark Lee Erickson, DDS is a
Dentist - General Practice based in Anthony, Kansas. Dr Mark Lee Erickson is licensed to practice in Kansas (license number 5629) and his current practice location is
113 N Anthony Ave, Anthony, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 842-3844.
NPI number for Dr Mark Lee Erickson is 1619937307 and his current mailing address is 113 N Anthony Ave, Anthony, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619937307.
Healthcare Provider's Profile
Full Name | Dr Mark Lee Erickson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 113 N Anthony Ave, Anthony, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619937307
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 08/08/2012
Medical Identifiers
Medical identifiers for Dr Mark Lee Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619937307 | NPI | - | NPPES |
116666 | Other | KS | BLUE CROSS BLUE SHIELD |
4054684003 | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5629 (Kansas) | 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. Dr Mark Lee Erickson 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 |
Dr Mark Lee Erickson, DDS 113 N Anthony Ave, Anthony, KS 67003-2007 Ph: (620) 842-3844 | Dr Mark Lee Erickson, DDS 113 N Anthony Ave, Anthony, KS 67003-2007 Ph: (620) 842-3844 |
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