Christie Ehle Erickson Ix, | |
4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | |
(218) 786-3540 | |
(218) 722-8160 |
Full Name | Christie Ehle Erickson Ix |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 4855 W Arrowhead Rd, Hermantown, 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 |
---|---|---|---|
1477585172 | NPI | - | NPPES |
387571700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R126067-4 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Duluth | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Christie Ehle Erickson Ix, 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 Ph: (218) 786-3540 | Christie Ehle Erickson Ix, 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 Ph: (218) 786-3540 |
Pamela J Idziorek, RNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-626-1222 | |
Karissa Ann Haugen, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811 Phone: 218-310-8896 Fax: 218-875-6315 | |
Kimberly Ann Johnson, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811 Phone: 218-727-3888 Fax: 218-260-4772 | |
Michelle L Carl, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Elizabeth A Maas, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4190 Loberg Ave, Hermantown, MN 55811 Phone: 218-249-5555 | |
Heather Kay Brown, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 |