Individual ProviderCheri EricksonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address33 Sewall St, Portland, ME 04102-2603(207) 828-2100(207) 482-7800PECOS EnrollmentBased on the most recent information from CMS, provider Cheri Erickson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 2:35 PM.Profile DetailsProvider ID1376097857Provider TypeIndividualFull NameErickson, CheriGenderFemaleSole ProprietorNoEnumeration Date8/12/2016Last Updated9/9/2021Contact InformationPractice LocationPractice Address33 Sewall St, Portland, ME 04102-2603Phone(207) 828-2100FaxUnlisted FaxMailing LocationMailing Address324 Gannett Dr, Ste 200, South Portland, ME 04106-3266Phone(207) 482-7800Fax(207) 482-7898Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA1872MaineProvider IdentifiersIDDescriptionIssuerID1376097857DescriptionMedicaidIssuerUnlistedMaine