Dr Quenby Lea Erickson, DO is a medicare enrolled "Dermatology" physician in Scott Afb, Illinois. She went to Mid West Medical College and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Illinois Dermatology Institute Llc and her current practice location is
310 W Losey St, Scott Afb, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 256-7572.
Dr Quenby Lea Erickson is licensed to practice in Indiana (license number 02002378A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558356410.
Physician's Profile
Full Name | Dr Quenby Lea Erickson |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 24 Years |
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Location | 310 W Losey St, Scott Afb, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Quenby Lea Erickson attended and graduated from Mid West Medical College in 2000
NPI Data:
- NPI Number: 1558356410
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 01/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 8022023316
- Enrollment ID: I20060207000991
Medical Identifiers
Medical identifiers for Dr Quenby Lea Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558356410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 02002378A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Illinois Dermatology Institute Llc | 7911043054 | 48 |
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 Quenby Lea Erickson allows following entities to bill medicare on her behalf.
Entity Name | Suleman J Bangash Dosc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841469830 PECOS PAC ID: 8729165006 Enrollment ID: O20080410000668 |
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Entity Name | Illinois Dermatology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891920898 PECOS PAC ID: 7911043054 Enrollment ID: O20091005000156 |
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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 Quenby Lea Erickson 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 Quenby Lea Erickson, DO 4100 Laclede Ave, #102, Saint Louis, MO 63108-2851 Ph: (618) 256-7572 | Dr Quenby Lea Erickson, DO 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-7572 |
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