Eric David Conklin, in Lakeland, FL - Medicare Nurse Practitioner

Eric David Conklin, is a medicare enrolled "Nurse Practitioner - Family" in Lakeland, Florida. His current practice location is 1324 Lakeland Hills Blvd, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 687-1100.

Eric David Conklin is licensed to practice in Florida (license number ARNP9264366) 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 1710465927.

Contact Information

	Eric David Conklin,
	1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543
	(863) 687-1100
	Not Available

Map and Direction

Provider's Profile

Full Name	Eric David Conklin
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1324 Lakeland Hills Blvd, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710465927
Provider Enumeration Date: 07/31/2018
Last Update Date: 08/06/2020

Medicare PECOS Information:

PECOS PAC ID: 8426301284
Enrollment ID: I20181024000546

Medical Identifiers

Medical identifiers for Eric David Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710465927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9264366 (Florida)	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. Eric David Conklin allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Regional Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384

Entity Name	Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673

Entity Name	Polk Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658

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. Eric David Conklin 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
Eric David Conklin, 4056 Sunset Lake Dr, Lakeland, FL 33810-2841 Ph: (863) 528-0245	Eric David Conklin, 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 Ph: (863) 687-1100

Reviews and Comments

Nurse Practitioner Nurses in Lakeland, FL

Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519

Eric David Conklin, - Medicare Nurse Practitioner in Lakeland, FL