Laura E Erickson, PA-C - Medicare Physician Assistant in Clarksville, TN

Laura E Erickson, PA-C is a medicare enrolled "Physician Assistant" in Clarksville, Tennessee. Her current practice location is 1193 Fort Campbell Blvd. Ste A, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (693) 155-7302.

Laura E Erickson is licensed to practice in Minnesota (license number 9992) 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 1114959814.

Contact Information

Laura E Erickson, PA-C
1193 Fort Campbell Blvd. Ste A,
Clarksville, TN 37042
(693) 155-7302
Not Available



Provider's Profile

Full NameLaura E Erickson
GenderFemale
SpecialityPhysician Assistant
Location1193 Fort Campbell Blvd. Ste A, Clarksville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114959814
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658313325
  • Enrollment ID: I20230918001613

Medical Identifiers

Medical identifiers for Laura E Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114959814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9992 (Minnesota)Primary
363A00000XPhysician Assistant 5338 (Tennessee)Secondary

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. Laura E Erickson 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
Laura E Erickson, PA-C
1193 Fort Campbell Blvd. Ste A,
Clarksville, TN 37042

Ph: (693) 155-7302
Laura E Erickson, PA-C
1193 Fort Campbell Blvd. Ste A,
Clarksville, TN 37042

Ph: (693) 155-7302

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› Verified 6 days ago


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Phone: 601-808-0051    

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