Charles Burton Erickson, MD | |
530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 | |
(763) 712-6000 | |
(763) 712-6591 |
Full Name | Charles Burton Erickson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 530 3rd St Nw, Elk River, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265409569 | NPI | - | NPPES |
451592700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23245 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Charles Burton Erickson, MD 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-5790 | Charles Burton Erickson, MD 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330-1445 Ph: (763) 712-6000 |
Chelsey Lawrence, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 952-967-7075 | |
Kate M. Sann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Riverway Clinic-elk River-mail Stop 39400a, Elk River, MN 55330 Phone: 763-587-4800 Fax: 763-587-4885 | |
Eric M. Simon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14181 Business Center Dr Nw, Elk River, MN 55330 Phone: 763-236-0500 | |
Thomas J Guyn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Freeport Ave Nw, Ste 100a, Elk River, MN 55330 Phone: 763-257-8000 | |
Alex J Shaykevich, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 855-324-7843 | |
Mark Brooks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Freeport Ave Nw, Ste 100, Elk River, MN 55330 Phone: 763-581-5200 Fax: 763-581-5201 |