Kevin R Ericson, MD in Mishawaka, IN - Medicare Family Practice

Kevin R Ericson, MD is a medicare enrolled "Family Medicine" physician in Mishawaka, Indiana. He went to University Of Wisconsin School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 611 E Douglas Rd, Ste 407, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-6500.

Kevin R Ericson is licensed to practice in Indiana (license number 01046492) 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 1265458749.

Contact Information

	Kevin R Ericson, MD
	611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464
	(574) 335-6500
	(574) 335-0772

Map and Direction

Physician's Profile

Full Name	Kevin R Ericson
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	611 E Douglas Rd, Mishawaka, Indiana
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:

Kevin R Ericson attended and graduated from University Of Wisconsin School Of Medicine in 1986

NPI Data:

NPI Number: 1265458749
Provider Enumeration Date: 07/15/2006
Last Update Date: 07/13/2012

Medicare PECOS Information:

PECOS PAC ID: 1759473374
Enrollment ID: I20070827000634

Medical Identifiers

Medical identifiers for Kevin R Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265458749	NPI	-	NPPES
200142060A	Other	IN	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01046492 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Joseph Regional Medical Center-south Bend Campus Inc	3476451790	57

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. Kevin R Ericson allows following entities to bill medicare on his behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	Saint Joseph Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757

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. Kevin R Ericson 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
Kevin R Ericson, MD 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 Ph: (574) 335-6500	Kevin R Ericson, MD 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 Ph: (574) 335-6500

Reviews and Comments

Family Medicine Doctors in Mishawaka, IN

Theodore R Neumann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545 Phone: 574-335-6580
Dr. Josephine Schimizzi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1505 South Spring Street, Mishawaka, IN 46544 Phone: 574-255-0726
Dale Dennis Deardorff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544 Phone: 574-247-3456 Fax: 574-247-3455
Dr. Jack S. Bartoszek, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544 Phone: 574-252-3085 Fax: 574-252-5906
Dr. Lawrence R Curry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556 Fax: 574-258-4278
Jennifer Anne Pennington, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544 Phone: 574-647-1900 Fax: 574-254-7222
Lynn Day, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5209 Breezewood Dr, Mishawaka, IN 46544 Phone: 574-255-2838

Kevin R Ericson, MD - Medicare Family Practice in Mishawaka, IN