Dr Matthew Campbell Ericksen, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Bolivar, Missouri. His current practice location is
1155 W Parkview St, Suite 2j, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 328-7000.
Dr Matthew Campbell Ericksen is licensed to practice in Missouri (license number 2012015105) 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 1285956797.
Physician's Profile
Full Name | Dr Matthew Campbell Ericksen |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1155 W Parkview St, Bolivar, Missouri |
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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. |
Medical Education and Training:
- Dr Matthew Campbell Ericksen attended and graduated from in
NPI Data:
- NPI Number: 1285956797
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 12/05/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Matthew Campbell Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285956797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2012015105 (Missouri) | 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 Matthew Campbell Ericksen 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 Matthew Campbell Ericksen, DO 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 | Dr Matthew Campbell Ericksen, DO 1155 W Parkview St, Suite 2j, Bolivar, MO 65613-8279 Ph: (417) 328-7000 |
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