Scott Erickson, MD is a medicare enrolled "Emergency Medicine" physician in Whitefish Bay, Wisconsin. His current practice location is
4876 N Sheffield Ave, Whitefish Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 803-3922.
Scott Erickson is licensed to practice in New York (license number 299100) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871955187.
Physician's Profile
| Full Name | Scott Erickson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 4876 N Sheffield Ave, Whitefish Bay, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871955187
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 08/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880930999
- Enrollment ID: I20190725002894
Medical Identifiers
Medical identifiers for Scott Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871955187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MD17191 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 299100 (New York) | Primary |
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. Scott Erickson allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955010
PECOS PAC ID: 1759301799
Enrollment ID: O20051206000046 |
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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. Scott 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 |
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Scott Erickson, MD
4876 N Sheffield Ave,
Whitefish Bay, WI 53217-5962
Ph: (414) 803-3922 | Scott Erickson, MD
4876 N Sheffield Ave,
Whitefish Bay, WI 53217-5962
Ph: (414) 803-3922 |
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