Jason Scott Erickson, PA-C | |
5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | |
(801) 314-4188 | |
(801) 314-4015 |
Full Name | Jason Scott Erickson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 6 Years |
Location | 5848 S Fashion Blvd Ste 110, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265999056 | NPI | - | NPPES |
1265999056 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 11111343-1206 (Utah) | Primary |
363A00000X | Physician Assistant | PA60942025 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lds Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
The Orthopedic Clinic Lc | 8527090729 | 27 |
Mailing Address | Practice Location Address |
---|---|
Jason Scott Erickson, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Jason Scott Erickson, PA-C 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 Ph: (801) 314-4188 |
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