Erik Fossen, - Medicare Emergency Medicine in Park Ridge, IL

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Erik Fossen, is a medicare enrolled "Emergency Medicine" physician in Park Ridge, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tri-county Emergency Physicians Ltd, Crystal Lake Immediate Care Physicians Ltd and his current practice location is 1775 Dempster St, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 723-5150.

Erik Fossen is licensed to practice in Illinois (license number 036147277) 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 1023472883.

Contact Information

Erik Fossen,
1775 Dempster St,
Park Ridge, IL 60068-1143
(847) 723-5150
(847) 723-2083

Map and Direction




Physician's Profile

Full NameErik Fossen
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location1775 Dempster St, Park Ridge, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erik Fossen graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1023472883
  • Provider Enumeration Date: 04/07/2016
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214223569
  • Enrollment ID: I20190104000816

Medical Identifiers

Medical identifiers for Erik Fossen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023472883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036147277 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Good Shepherd HospitalBarrington, ILHospital
Advocate Lutheran General HospitalPark ridge, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-county Emergency Physicians Ltd256741224019
Crystal Lake Immediate Care Physicians Ltd296178313917

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. Erik Fossen allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameTri-county Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700810470
PECOS PAC ID: 2567412240
Enrollment ID: O20050131000438
Entity NameCrystal Lake Immediate Care Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517198
PECOS PAC ID: 2961783139
Enrollment ID: O20161229001875

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. Erik Fossen 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 AddressPractice Location Address
Erik Fossen,
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900		Erik Fossen,
1775 Dempster St,
Park Ridge, IL 60068-1143

Ph: (847) 723-5150

Reviews and Comments


Emergency Medicine Doctors in Park Ridge, IL

Angela Mccormick, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 316 Michael John Dr, Park Ridge, IL 60068
Phone: 724-689-8278    
Beth Marie Hillman, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-5150    Fax: 847-723-2083
Dr. Anastasia Figura, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-5150    Fax: 847-723-2083
Todd Clark, MEDICAL DOCTOR
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1775 W Dempster St, 1 West, Park Ridge, IL 60068
Phone: 847-723-5150    Fax: 847-723-2083
Susan Ballis,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster, Park Ridge, IL 60068
Phone: 847-723-7624    
Jon Olsen,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1775 Dempster, Park Ridge, IL 60068
Phone: 847-723-7624    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.