Dr David Lamont Ericson, MD in Mundelein, IL

Dr David Lamont Ericson, MD is a medicare enrolled "Family Medicine" physician in Mundelein, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 1162 W Maple Ave, Mundelein, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 367-2400.

Dr David Lamont Ericson is licensed to practice in Illinois (license number 036117087) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417098690.

Contact Information

	Dr David Lamont Ericson, MD
	1162 W Maple Ave, Mundelein, IL 60060-1438
	(847) 367-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David Lamont Ericson
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	1162 W Maple Ave, Mundelein, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Lamont Ericson attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2004

NPI Data:

NPI Number: 1417098690
Provider Enumeration Date: 02/09/2007
Last Update Date: 04/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3779689096
Enrollment ID: I20070503000176

Medical Identifiers

Medical identifiers for Dr David Lamont Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417098690	NPI	-	NPPES
820800	Other	IL	MEDICARE PTAN(GROUP)
K36911	Other	IL	MEDICARE PTAN (INDIVIDUAL)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036117087 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Home Health Care Serv	Lombard, IL	Home health agency
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Dr David Lamont Ericson allows following entities to bill medicare on his behalf.

Entity Name	Central Dupage Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 David Lamont Ericson 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
Dr David Lamont Ericson, MD 1162 W Maple Ave, Mundelein, IL 60060-1438 Ph: (847) 367-2400	Dr David Lamont Ericson, MD 1162 W Maple Ave, Mundelein, IL 60060-1438 Ph: (847) 367-2400

Reviews and Comments

Family Medicine Doctors in Mundelein, IL

Dr. John Anthony Medved, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29125 N Gossell Rd, Mundelein, IL 60060 Phone: 847-651-4304 Fax: 847-487-1099
Timothy Joseph Poland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1162 W Maple Ave, Mundelein, IL 60060 Phone: 847-367-2400 Fax: 847-367-2440
Dr. Mikhail Khodarkovskiy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E Il Route 83 Ste 105, Mundelein, IL 60060 Phone: 847-970-9922 Fax: 847-970-9955
Dr. Varsha Chandramouli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1337 Turnberry Ln, Mundelein, IL 60060 Phone: 847-566-6315
Jessica Ester Schwartz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1162 W Maple Ave, Mundelein, IL 60060 Phone: 847-367-2400
Bela Glantsman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E Il Route 83 Ste 105, Mundelein, IL 60060 Phone: 847-970-9922 Fax: 847-970-9955

Dr David Lamont Ericson, MD - Medicare Family Practice in Mundelein, IL