Donald Paul Ericksen, MD | |
6 13th Ave E, Polson, MT 59860-5315 | |
(406) 883-5680 | |
Not Available |
Full Name | Donald Paul Ericksen |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 6 13th Ave E, Polson, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386755395 | NPI | - | NPPES |
000017571 | Other | MT | BLUE CROSS |
0108758 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 8461 (Montana) | Primary |
Entity Name | Kalispell Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
Entity Name | Northwest Orthopedics And Sports Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679391 PECOS PAC ID: 1153336797 Enrollment ID: O20060217000413 |
Mailing Address | Practice Location Address |
---|---|
Donald Paul Ericksen, MD Po Box 12, Liberty Lake, WA 99019-0012 Ph: (406) 883-5680 | Donald Paul Ericksen, MD 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
Matthew Joseph Anderson, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 | |
Michael Righetti, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-8250 Fax: 406-883-8254 | |
Joost Gazendam, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8960 | |
Michael Patrick Wright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |