Mr Jared Erickson, PA-C is a medicare enrolled "Physician Assistant" physician in Layton, Utah. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tanner Memorial Clinic and his current practice location is
2121 N 1700 W, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 773-4840.
Mr Jared Erickson is licensed to practice in Utah (license number 7760523-1206) 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 1407228216.
Physician's Profile
| Full Name | Mr Jared Erickson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 2121 N 1700 W, Layton, Utah |
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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:
- Mr Jared Erickson graduated from medical school in 2015
NPI Data:
- NPI Number: 1407228216
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719287457
- Enrollment ID: I20151201002697
Medical Identifiers
Medical identifiers for Mr Jared Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407228216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 7760523-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 7760523-1206 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tanner Memorial Clinic | 4284547985 | 215 |
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. Mr Jared 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 |
|---|
Mr Jared Erickson, PA-C
Po Box 337,
Layton, UT 84041-0337
Ph: (801) 773-4840 | Mr Jared Erickson, PA-C
2121 N 1700 W,
Layton, UT 84041-8803
Ph: (801) 773-4840 |
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