| Gracia Erickson, | |
|
1301 15th Ave W, Williston, ND 58801-3821 | |
| (701) 774-7492 | |
| (701) 774-7479 |
| Full Name | Gracia Erickson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 20 Years |
| Location | 1301 15th Ave W, Williston, North Dakota |
| 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 |
|---|---|---|---|
| 1356439053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 702 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Provider Name | Sanford Medical Center Fargo |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Gracia Erickson, 904 5th Ave Ne, Jamestown, ND 58401-3437 Ph: (701) 253-4000 | Gracia Erickson, 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7492 |
Jeanine Hicks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7401 Fax: 701-774-7479 | |
Mercy Medical Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7470 Fax: 701-774-7479 | |
Ms. Kalie Rider, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14641 43rd St Nw, Williston, ND 58801 Phone: 701-770-2228 | |
Tammy Bearce, L.R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7492 Fax: 701-774-7479 | |
Nicole Mcatee, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Sandra Horob, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7492 Fax: 701-774-7479 |