Dr Matthew Campbell Ericksen, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Bolivar, Missouri. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent And Allergy Associates Of Florida, Llc and 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 | Otolaryngology |
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| Experience | 14 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. |
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Medical Education and Training:
- Dr Matthew Campbell Ericksen attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2010
NPI Data:
- NPI Number: 1285956797
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 04/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042525727
- Enrollment ID: I20220512002140
Medical Identifiers
Medical identifiers for Dr Matthew Campbell Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285956797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2012015105 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ent And Allergy Associates Of Florida, Llc | 0042292849 | 193 |
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 Matthew Campbell Ericksen allows following entities to bill medicare on his behalf.
| Entity Name | Ent And Allergy Associates Of Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164473120
PECOS PAC ID: 0042292849
Enrollment ID: O20040604000553 |
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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 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 |
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Dr Matthew Campbell Ericksen, DO
1155 W Parkview St, Suite 2j,
Bolivar, MO 65613-8279
Ph: (623) 734-6378 | Dr Matthew Campbell Ericksen, DO
1155 W Parkview St, Suite 2j,
Bolivar, MO 65613-8279
Ph: (417) 328-7000 |
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