Jackie A Erickson, CRNA in Minneapolis, MN - Medicare Nurse Anesthetist, Certified Registered

Jackie A Erickson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minneapolis, Minnesota. Her current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 873-3152.

Jackie A Erickson is licensed to practice in Minnesota (license number 075729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942423090.

Contact Information

	Jackie A Erickson, CRNA
	701 Park Ave, Minneapolis, MN 55415-1623
	(612) 873-3152
	(612) 904-4218

Map and Direction

Provider's Profile

Full Name	Jackie A Erickson
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	701 Park Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942423090
Provider Enumeration Date: 04/10/2007
Last Update Date: 09/06/2007

Medicare PECOS Information:

PECOS PAC ID: 5890895908
Enrollment ID: I20070702000554

Medical Identifiers

Medical identifiers for Jackie A Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942423090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	075729 (Minnesota)	Primary

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. Jackie A Erickson allows following entities to bill medicare on her behalf.

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Jackie A 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
Jackie A Erickson, CRNA 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-6005	Jackie A Erickson, CRNA 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3152

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Minneapolis, MN

Mrs. Angela Renae Mund, MS CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3393
Nancy S Hawley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3152 Fax: 612-904-4218
Drew David Mathews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Joyce Sia Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Sara Jayne Armbruster, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440 Phone: 952-883-7172 Fax: 952-883-5395
Linh Tran Geist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302
Asal Salehpoor Driscoll, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6273

Jackie A Erickson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Minneapolis, MN