Travis Erickson, DNP | |
401 9th Ave Nw, Watertown, SD 57201-1548 | |
(605) 882-7000 | |
(605) 882-7819 |
Full Name | Travis Erickson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 401 9th Ave Nw, Watertown, South Dakota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467927657 | NPI | - | NPPES |
1467927657 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP001466 (South Dakota) | Primary |
363LF0000X | Nurse Practitioner - Family | 7183 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
Huron Regional Medical Center | Huron, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
Entity Name | Huron Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
Entity Name | Prairie Lakes Health Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
Entity Name | Dunes Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801810585 PECOS PAC ID: 9537141254 Enrollment ID: O20040604000767 |
Mailing Address | Practice Location Address |
---|---|
Travis Erickson, DNP Po Box 1210, Watertown, SD 57201-6210 Ph: (605) 882-7000 | Travis Erickson, DNP 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7000 |
Mrs. Jacklyn Ann Karli, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7953 | |
Bethany K Schultz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 | |
Stefanie Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1056 29th St Se, Watertown, SD 57201 Phone: 605-753-0960 | |
Melissa J Magstadt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1028 29th St Se, Watertown, SD 57201 Phone: 605-878-2888 | |
Allison Theresa Tracy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1512 4th St Ne, Watertown, SD 57201 Phone: 605-884-0100 | |
Kristina R Boetel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300 | |
Kristie L Goens, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-5455 Fax: 605-882-5452 |