Dr Keith J Erickson, MD in Minnetonka, MN - Medicare Psychiatry & Neurology

Dr Keith J Erickson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Minnetonka, Minnesota. His current practice location is 13100 Wayzata Blvd Ste 200, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 206-2040.

Dr Keith J Erickson is licensed to practice in Minnesota (license number 36144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619931185.

Contact Information

	Dr Keith J Erickson, MD
	13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810
	(952) 206-2040
	(952) 206-2041

Map and Direction

Physician's Profile

Full Name	Dr Keith J Erickson
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	13100 Wayzata Blvd Ste 200, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619931185
Provider Enumeration Date: 04/13/2006
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 6103728035
Enrollment ID: I20230725003131

Medical Identifiers

Medical identifiers for Dr Keith J Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619931185	NPI	-	NPPES
4T606ER	Other	MN	BLUE CROSS BLUE SHIELD
103765000	Medicaid	MN
12327	Other	ND	BLUE CROSS BLUE SHIELD
17911	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	36144 (Minnesota)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	6210 (North Dakota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Keith J Erickson allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Dr Keith J 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 Address	Practice Location Address
Dr Keith J Erickson, MD 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (844) 374-8893	Dr Keith J Erickson, MD 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 Ph: (952) 206-2040

Reviews and Comments

Psychiatry & Neurology Doctors in Minnetonka, MN

Barbara Ann Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4737 County Road 101, Ste 124, Minnetonka, MN 55345 Phone: 612-710-3671 Fax: 763-295-4946
Adnan Ahmed, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10201 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 952-544-6806 Fax: 952-545-0098
Dr. Katarzyna J Litak, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10201 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 952-544-6806 Fax: 952-545-0098
Dr. Randi Wolfe, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 800-561-0861
Twila B Germanson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13911 Ridgedale Dr., Ste 320, Minnetonka, MN 55305 Phone: 952-956-4057 Fax: 952-333-8196
John Gregory Luehr, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 Phone: 952-999-6097 Fax: 952-426-0508

Dr Keith J Erickson, MD - Medicare Psychiatry & Neurology in Minnetonka, MN