Dr Kyle J Ericson, MD is a medicare enrolled "Urology" physician in Westlake, Ohio. His current practice location is
29000 Center Ridge Rd Ste 400, Westlake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 835-8000.
Dr Kyle J Ericson is licensed to practice in Ohio (license number 35.142520) 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 1174933048.
Physician's Profile
| Full Name | Dr Kyle J Ericson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 29000 Center Ridge Rd Ste 400, Westlake, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kyle J Ericson attended and graduated from in
NPI Data:
- NPI Number: 1174933048
- Provider Enumeration Date: 05/01/2014
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kyle J Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174933048 | NPI | - | NPPES |
| 0454660 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 57.026312 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
| 208800000X | Urology | 35.142520 (Ohio) | 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 Kyle J 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 Kyle J Ericson, MD
2350 Charney Rd,
University Heights, OH 44118-3720
Ph: (216) 213-2169 | Dr Kyle J Ericson, MD
29000 Center Ridge Rd Ste 400,
Westlake, OH 44145-5219
Ph: (440) 835-8000 |
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