Evelyn J Erickson, MD | |
3701 12th St N, Suite 100, St Cloud, MN 56303 | |
(320) 253-7257 | |
(320) 251-2938 |
Full Name | Evelyn J Erickson |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 38 Years |
Location | 3701 12th St N, St Cloud, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568480366 | NPI | - | NPPES |
145719500 | Medicaid | MN | |
111011 | Other | UCARE | |
1006655 | Other | P-ONE | |
6T195ER | Other | BCBS | |
249000019 | Other | METRAHEALTH (MPIN) | |
1301024 | Other | MEDICA | |
145719500 | Other | NEW MA PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 37346 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Centracare Health System - Melrose |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
Entity Name | Centracare Health System - Melrose |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
Entity Name | Centracare Health System - Sauk Centre |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Entity Name | Centracare Health System - Sauk Centre |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1740553932 PECOS PAC ID: 4981857216 Enrollment ID: O20140523001292 |
Mailing Address | Practice Location Address |
---|---|
Evelyn J Erickson, MD 3701 12th St N, Suite 100, St Cloud, MN 56303 Ph: (320) 253-7257 | Evelyn J Erickson, MD 3701 12th St N, Suite 100, St Cloud, MN 56303 Ph: (320) 253-7257 |
James M Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Paul W Schultz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3701 12th Street N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
John M Houle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Thomas L Satterberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3701 12th Street N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Kurt Martinson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Dr. Daniel Brent Leslie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303 Phone: 320-252-3342 Fax: 320-252-3501 |