Jennifer Ashley Ericson, AGACNP-BG in Springfield, OR

Jennifer Ashley Ericson, AGACNP-BG is a medicare enrolled "Nurse Practitioner" in Springfield, Oregon. Her current practice location is 3311 Riverbend Dr # 300, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 484-4332.

Jennifer Ashley Ericson is licensed to practice in Oregon (license number 10015828) 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 1982483731.

Contact Information

	Jennifer Ashley Ericson, AGACNP-BG
	3311 Riverbend Dr # 300, Springfield, OR 97477-8800
	(541) 484-4332
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Ashley Ericson
Gender	Female
Speciality	Nurse Practitioner
Location	3311 Riverbend Dr # 300, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982483731
Provider Enumeration Date: 09/21/2023
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7012356678
Enrollment ID: I20240415003795

Medical Identifiers

Medical identifiers for Jennifer Ashley Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982483731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10015828 (Oregon)	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. Jennifer Ashley Ericson allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353

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. Jennifer Ashley Ericson 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
Jennifer Ashley Ericson, AGACNP-BG 3311 Riverbend Dr # 300, Springfield, OR 97477-8800 Ph: (541) 484-4332	Jennifer Ashley Ericson, AGACNP-BG 3311 Riverbend Dr # 300, Springfield, OR 97477-8800 Ph: (541) 484-4332

Reviews and Comments

Nurse Practitioner Nurses in Springfield, OR

Vivian Enyo Dzata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551
Mrs. Kay Ann Froemming, RN CPNP IBLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Q St, Springfield, OR 97477 Phone: 641-744-7121 Fax: 541-726-4104
Cierra Hibbs-porter-rogge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400
Donna Cash, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 River Bend Drive, Suite 300, Springfield, OR 97477 Phone: 541-484-4332 Fax: 541-302-0786
Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401
Barbara L Bryson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic Street, Springfield, OR 97477 Phone: 451-682-3550 Fax: 451-682-3551

Jennifer Ashley Ericson, AGACNP-BG - Medicare Nurse Practitioner in Springfield, OR