Mrs Connie Dean Ericksten, is a
Counselor - Pastoral based in Bentley, Kansas. Mrs Connie Dean Ericksten is licensed to practice in Florida (license number 14640) and her current practice location is
111 S Devinshire Ave, Bentley, Kansas. She can be reached at her office (for appointments etc.) via phone at
(316) 796-0770.
NPI number for Mrs Connie Dean Ericksten is 1093113128 and her current mailing address is Po Box 111, Bentley, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093113128.
Healthcare Provider's Profile
| Full Name | Mrs Connie Dean Ericksten |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Pastoral |
|---|
| Location | 111 S Devinshire Ave, Bentley, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093113128
- Provider Enumeration Date: 12/05/2014
- Last Update Date: 12/05/2014
Medical Identifiers
Medical identifiers for Mrs Connie Dean Ericksten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093113128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 14640 (Florida) | Primary |
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. Mrs Connie Dean Ericksten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Connie Dean Ericksten,
Po Box 111,
Bentley, KS 67016-0111
Ph: (316) 796-0770 | Mrs Connie Dean Ericksten,
111 S Devinshire Ave,
Bentley, KS 67016-7625
Ph: (316) 796-0770 |
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