Gordon Eckroth, LICSW/BCD is a
Case Manager/care Coordinator based in Bismarck, North Dakota. Gordon Eckroth is licensed to practice in * (Not Available) (license number ) and his current practice location is
1237 W Divide Ave, Ste 5, Bismarck, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 328-8867.
NPI number for Gordon Eckroth is 1386672442 and his current mailing address is 1237 W Divide Ave, Ste 5, Bismarck, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386672442.
Healthcare Provider's Profile
| Full Name | Gordon Eckroth |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1237 W Divide Ave, Bismarck, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386672442
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 08/15/2013
Medical Identifiers
Medical identifiers for Gordon Eckroth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386672442 | NPI | - | NPPES |
| 05382 | Other | | BCBS OF ND |
| N5382 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 0186 (North Dakota) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Gordon Eckroth 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 |
|---|
Gordon Eckroth, LICSW/BCD
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1208
Ph: (701) 328-8867 | Gordon Eckroth, LICSW/BCD
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1208
Ph: (701) 328-8867 |
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