Elise N Erickson, CNM in Portland, OR - Medicare Advanced Practice Midwife

Elise N Erickson, CNM is a medicare enrolled "Advanced Practice Midwife" in Portland, Oregon. Her current practice location is 9427 Sw Barnes Rd, Suite 395, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-2602.

Elise N Erickson is licensed to practice in Oregon (license number 201050086NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003945916.

Contact Information

	Elise N Erickson, CNM
	9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652
	(503) 216-2602
	Not Available

Map and Direction

Provider's Profile

Full Name	Elise N Erickson
Gender	Female
Speciality	Advanced Practice Midwife
Location	9427 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003945916
Provider Enumeration Date: 03/05/2007
Last Update Date: 06/20/2012

Medicare PECOS Information:

PECOS PAC ID: 4880887389
Enrollment ID: I20240314004151

Medical Identifiers

Medical identifiers for Elise N Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003945916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	201050086NP (Oregon)	Primary
363L00000X	Nurse Practitioner	201050086NP (Oregon)	Secondary

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. Elise N Erickson allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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. Elise N 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
Elise N Erickson, CNM Po Box 3158, Portland, OR 97208-3158 Ph: () -	Elise N Erickson, CNM 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 Ph: (503) 216-2602

Reviews and Comments

Advanced Practice Midwife Nurses in Portland, OR

Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534
Polly C Molden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4500 Fax: 503-494-1678
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725

Elise N Erickson, CNM - Medicare Advanced Practice Midwife in Portland, OR