Stephen L Ericksen, DMD - Medicare Dentist in American Fork, UT

Stephen L Ericksen, DMD is a medicare enrolled "Dentist" provider in American Fork, Utah. His current practice location is 895 N 900 E, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 763-4164.

Stephen L Ericksen is licensed to practice in Utah (license number 5314850-9922) 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 1194807156.

Contact Information

Stephen L Ericksen, DMD
895 N 900 E,
American Fork, UT 84003-9183
(801) 763-4164
Not Available



Healthcare Provider's Profile

Full NameStephen L Ericksen
GenderMale
SpecialityDentist
Location895 N 900 E, American Fork, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194807156
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406159755
  • Enrollment ID: I20160121000387

Medical Identifiers

Medical identifiers for Stephen L Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194807156NPI-NPPES
DD5568MedicaidAK
1161OtherAKLICENSED DENTIST
5314850-9922OtherUTLICENSED DENTIST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DEND1161 (Alaska)Secondary
122300000XDentist 5314850-9922 (Utah)Primary

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. Stephen L Ericksen 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 AddressPractice Location Address
Stephen L Ericksen, DMD
895 N 900 E,
American Fork, UT 84003-9183

Ph: (801) 763-4164
Stephen L Ericksen, DMD
895 N 900 E,
American Fork, UT 84003-9183

Ph: (801) 763-4164

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Dentist in American Fork, UT

Dr. Joseph Doyle Liddle, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 120 North Center, American Fork, UT 84003
Phone: 801-756-3377    
Dr. L. Craig Rosvall, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 224 S 1100 E, American Fork, UT 84003
Phone: 801-756-6581    Fax: 801-756-9318
Dr. Greg G Pitts, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9 N 1100 E, American Fork, UT 84003
Phone: 801-763-9000    Fax: 801-763-8300
Dr. Steven Reed Braithwaite, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 218 N West State Rd, American Fork, UT 84003
Phone: 801-763-7737    Fax: 801-763-7757
Dr. Scott A Tracy, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 321 E 300 N, American Fork, UT 84003
Phone: 801-756-0933    
Dr. Joel Brandon Richards, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 449 S 650 E, American Fork, UT 84003
Phone: 425-953-6334    
Dr. Boley Jacob Greenwood, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 226 N 1100 E, American Fork, UT 84003
Phone: 801-756-6037    Fax: 801-756-6088

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