Dr Mathew C Erickson, MD | |
302-a Bushley Street, Erickson Family Medicine, Harrisonburg, LA 71340-0302 | |
(318) 744-5504 | |
(318) 744-5505 |
Full Name | Dr Mathew C Erickson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 13 Years |
Location | 302-a Bushley Street, Harrisonburg, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265642508 | NPI | - | NPPES |
1078085 | Medicaid | LA | |
09216 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.201826 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lasalle Gen Hosp Home Health Agency | Jena, LA | Home health agency |
Louisiana Homecare Of Miss-lou | Ferriday, LA | Home health agency |
Lasalle General Hospital | Jena, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Service District 2 Of Lasalle Parish | 3971596164 | 11 |
Entity Name | Hospital Service District #2 Of Lasalle Parish |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801825005 PECOS PAC ID: 3971596164 Enrollment ID: O20040628001134 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
Entity Name | Jena Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
Entity Name | Jena Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
Entity Name | Oakdale Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Mailing Address | Practice Location Address |
---|---|
Dr Mathew C Erickson, MD Po Box 2780, Jena, LA 71342-2780 Ph: (318) 992-9200 | Dr Mathew C Erickson, MD 302-a Bushley Street, Erickson Family Medicine, Harrisonburg, LA 71340-0302 Ph: (318) 744-5504 |