Kevin R Ericson, MD - Medicare Family Practice in Mishawaka, IN

Kevin R Ericson, MD is a medicare enrolled "Family Medicine" physician in Mishawaka, Indiana. He went to University Of Wisconsin School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 611 E Douglas Rd, Ste 407, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-6500.

Kevin R Ericson is licensed to practice in Indiana (license number 01046492) 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 1265458749.

Contact Information

Kevin R Ericson, MD
611 E Douglas Rd, Ste 407,
Mishawaka, IN 46545-1464
(574) 335-6500
(574) 335-0772



Physician's Profile

Full NameKevin R Ericson
GenderMale
SpecialityFamily Practice
Experience38 Years
Location611 E Douglas Rd, Mishawaka, Indiana
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:
  • Kevin R Ericson attended and graduated from University Of Wisconsin School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1265458749
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 07/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1759473374
  • Enrollment ID: I20070827000634

Medical Identifiers

Medical identifiers for Kevin R Ericson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265458749NPI-NPPES
200142060AOtherINMEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01046492 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179077

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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. Kevin R Ericson allows following entities to bill medicare on his behalf.
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841245594
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724

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Entity NameSaint Joseph Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757

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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. Kevin R 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 AddressPractice Location Address
Kevin R Ericson, MD
611 E Douglas Rd, Ste 407,
Mishawaka, IN 46545-1464

Ph: (574) 335-6500
Kevin R Ericson, MD
611 E Douglas Rd, Ste 407,
Mishawaka, IN 46545-1464

Ph: (574) 335-6500

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Family Medicine Doctors in Mishawaka, IN

Theodore R Neumann, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545
Phone: 574-335-6580    
Dr. Josephine Schimizzi, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1505 South Spring Street, Mishawaka, IN 46544
Phone: 574-255-0726    
Dale Dennis Deardorff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Suite 180, Mishawaka, IN 46544
Phone: 574-247-3456    Fax: 574-247-3455
James Mccarrey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    
Dr. Jack S. Bartoszek, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 615 Fulmer Rd, Mishawaka, IN 46544
Phone: 574-252-3085    Fax: 574-252-5906
Dr. Lawrence R Curry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545
Phone: 574-256-2556    Fax: 574-258-4278
Jennifer Anne Pennington, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4630 Vistula Rd, Mishawaka, IN 46544
Phone: 574-647-1900    Fax: 574-254-7222

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