Eric David Laviaddin, PA is a medicare enrolled "Physician Assistant" in Winnetka, California. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Florence Western Medical Clinic Inc and his current practice location is
20800 Sherman Way, Winnetka, California. You can reach out to his office (for appointments etc.) via phone at
(818) 883-2273.
Eric David Laviaddin is licensed to practice in California (license number PA20713) 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 1245546860.
Provider's Profile
| Full Name | Eric David Laviaddin |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 20800 Sherman Way, Winnetka, California |
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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:
- Eric David Laviaddin graduated from nursing school in 2009
NPI Data:
- NPI Number: 1245546860
- Provider Enumeration Date: 08/19/2010
- Last Update Date: 08/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 8527243591
- Enrollment ID: I20110506000631
Medical Identifiers
Medical identifiers for Eric David Laviaddin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245546860 | NPI | - | NPPES |
| 051104 | Other | CA | MEDICARE FQHC |
| 051105 | Other | CA | MEDICARE FQHC |
| 1083624423 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA20713 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Florence Western Medical Clinic Inc | 1850485962 | 11 |
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 Laviaddin 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 Laviaddin, PA
8902 Woodman Ave,
Arleta, CA 91331-6401
Ph: (818) 883-2273 | Eric David Laviaddin, PA
20800 Sherman Way,
Winnetka, CA 91306-2707
Ph: (818) 883-2273 |
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