Dr Kyle J Ericson, MD is a medicare enrolled "Urology" physician in Westlake, Ohio. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Urology. He is a member of the group practice University Primary Care Practices Inc and 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 | Urology |
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| Experience | 9 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 graduated from medical school in 2015
NPI Data:
- NPI Number: 1174933048
- Provider Enumeration Date: 05/01/2014
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830490820
- Enrollment ID: I20210810003267
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 |
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| 208800000X | Urology | 57.026312 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
| 208800000X | Urology | 35.142520 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Primary Care Practices Inc | 3072417534 | 930 |
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 Kyle J Ericson allows following entities to bill medicare on his behalf.
| Entity Name | University Primary Care Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767 |
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| Entity Name | Fisher-titus Medical Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467636399
PECOS PAC ID: 6507940566
Enrollment ID: O20080228000695 |
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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. 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 |
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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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