Dr Mark D Erickstad, MD - Medicare Urology in Longview, TX

Dr Mark D Erickstad, MD is a medicare enrolled "Urology" physician in Longview, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1986 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice Texas Oncology Pa and his current practice location is 802 Medical Dr, Suite 400, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 757-7871.

Dr Mark D Erickstad is licensed to practice in Texas (license number H2362) 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 1972570307.

Contact Information

Dr Mark D Erickstad, MD
802 Medical Dr, Suite 400,
Longview, TX 75605-5100
(903) 757-7871
(903) 753-2479



Physician's Profile

Full NameDr Mark D Erickstad
GenderMale
SpecialityUrology
Experience38 Years
Location802 Medical Dr, Longview, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark D Erickstad attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1986
  NPI Data:
  • NPI Number: 1972570307
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 05/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4284736489
  • Enrollment ID: I20070219000245

Medical Identifiers

Medical identifiers for Dr Mark D Erickstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972570307NPI-NPPES
127746908MedicaidTX
P00417180OtherTXRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology H2362 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longview Regional Medical CenterLongview, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas Oncology Pa5395658934855

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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. Dr Mark D Erickstad allows following entities to bill medicare on his behalf.
Entity NameTexas Oncology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811944101
PECOS PAC ID: 5395658934
Enrollment ID: O20031124000323

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Entity NameRegional Clinics Of Longview
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407047863
PECOS PAC ID: 7214016559
Enrollment ID: O20080512000372

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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. Dr Mark D Erickstad 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
Dr Mark D Erickstad, MD
Po Box 847176,
Dallas, TX 75284-7176

Ph: (903) 237-1800
Dr Mark D Erickstad, MD
802 Medical Dr, Suite 400,
Longview, TX 75605-5100

Ph: (903) 757-7871

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Urology Doctors in Longview, TX

Adrienne J K Carmack, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 703 E Marshall Ave, Suite 5007, Longview, TX 75601
Phone: 903-315-4455    Fax: 903-315-2466
Dr. Paul Brian Williams, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Landon Taylor Erickstad, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr Ste 400, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Dr. John M Ferrell, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601
Phone: 903-757-7871    Fax: 903-753-2479
Gid Roger Johnson, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Sweetbriar St, Longview, TX 75604
Phone: 903-297-6000    Fax: 903-297-6250
Dr. Gregory Ashton Edwards, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr, Suite 400, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Dr. Timothy W Howes, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601
Phone: 903-757-7871    Fax: 903-753-2479

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