Mrs Mary Wanda Erickson, OTR, L is a
Occupational Therapist based in Fort Snelling, Minnesota. Mrs Mary Wanda Erickson is licensed to practice in Minnesota (license number 101266) and her current practice location is
506 Roeder Cir, 88th Rrc Surgeon's Office, Fort Snelling, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 713-3254.
NPI number for Mrs Mary Wanda Erickson is 1700939386 and her current mailing address is 13788 Crocus St Nw, Andover, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700939386.
Healthcare Provider's Profile
Full Name | Mrs Mary Wanda Erickson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 506 Roeder Cir, Fort Snelling, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700939386
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mary Wanda Erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700939386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 101266 (Minnesota) | Primary |
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. Mrs Mary Wanda Erickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Wanda Erickson, OTR, L 13788 Crocus St Nw, Andover, MN 55304-3729 Ph: (763) 755-5864 | Mrs Mary Wanda Erickson, OTR, L 506 Roeder Cir, 88th Rrc Surgeon's Office, Fort Snelling, MN 55111-4017 Ph: (612) 713-3254 |
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