| Austyn Erickson, | |
|
4448 W Loomis Rd, Greenfield, WI 53220-4800 | |
| (414) 281-5150 | |
| Not Available |
| Full Name | Austyn Erickson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 6 Years |
| Location | 4448 W Loomis Rd, Greenfield, Wisconsin |
| 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 |
|---|---|---|---|
| 1073189064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86153581 (Kentucky) | Secondary |
| 133V00000X | Dietitian, Registered | 6114-29 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1107 |
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Lakeshore Medical Clinic Llc | 7719890730 | 375 |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Lakeshore Medical Clinic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Austyn Erickson, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Austyn Erickson, 4448 W Loomis Rd, Greenfield, WI 53220-4800 Ph: (414) 281-5150 |
Marianne Kunz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4242 S 97th St, Greenfield, WI 53228 Phone: 414-327-3077 |
Meagan Gibson, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3401 W Wilbur Ave, Greenfield, WI 53221 Phone: 262-347-1255 |
Hannah Lochner, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 |
H. Claire Bruckbauer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5790 S 27th St, Greenfield, WI 53221 Phone: 414-282-1300 |
Elyse M Vanbogaert, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3400 South 103rd St, Suite 300, Greenfield, WI 53277 Phone: 262-366-3655 |
Erica A Walhovd, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4404 S 66th St, Greenfield, WI 53220 Phone: 414-640-0975 |
Lisa Marie Lundquist, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4615 S River Ridge Blvd, Greenfield, WI 53228 Phone: 414-389-7546 |