Dr Matthew Campbell Ericksen, DO - Medicare Otolaryngology in Bolivar, MO

Dr Matthew Campbell Ericksen, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Bolivar, Missouri. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent And Allergy Associates Of Florida, Llc and his current practice location is 1155 W Parkview St, Suite 2j, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 328-7000.

Dr Matthew Campbell Ericksen is licensed to practice in Missouri (license number 2012015105) 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 1285956797.

Contact Information

Dr Matthew Campbell Ericksen, DO
1155 W Parkview St, Suite 2j,
Bolivar, MO 65613-8279
(417) 328-7000
Not Available



Physician's Profile

Full NameDr Matthew Campbell Ericksen
GenderMale
SpecialityOtolaryngology
Experience14 Years
Location1155 W Parkview St, Bolivar, Missouri
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 Matthew Campbell Ericksen attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2010
  NPI Data:
  • NPI Number: 1285956797
  • Provider Enumeration Date: 02/25/2010
  • Last Update Date: 04/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042525727
  • Enrollment ID: I20220512002140

Medical Identifiers

Medical identifiers for Dr Matthew Campbell Ericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285956797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 2012015105 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawnwood Regional Medical Center & Heart InstituteFort pierce, FLHospital
St Lucie Medical CenterPort saint lucie, FLHospital
Raulerson HospitalOkeechobee, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ent And Allergy Associates Of Florida, Llc0042292849196

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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 Matthew Campbell Ericksen allows following entities to bill medicare on his behalf.
Entity NameEnt And Allergy Associates Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164473120
PECOS PAC ID: 0042292849
Enrollment ID: O20040604000553

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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 Matthew Campbell 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
Dr Matthew Campbell Ericksen, DO
1155 W Parkview St, Suite 2j,
Bolivar, MO 65613-8279

Ph: (623) 734-6378
Dr Matthew Campbell Ericksen, DO
1155 W Parkview St, Suite 2j,
Bolivar, MO 65613-8279

Ph: (417) 328-7000

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Otolaryngology Doctors in Bolivar, MO

Mr. Robert Dale Cagle, D.O.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1245 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-328-7702    Fax: 417-777-7881

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