| Chad Erickson, | |
|
800 Bemidji Ave N, Bemidji, MN 56601-3054 | |
| (218) 308-2400 | |
| (651) 431-7530 |
| Full Name | Chad Erickson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 800 Bemidji Ave N, Bemidji, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386879617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12771 (North Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 54806 (Minnesota) | Primary |
| Entity Name | Lakeland Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480287 PECOS PAC ID: 1759291891 Enrollment ID: O20031105000073 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Community Behavioral Health Hospital Bemidji |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1043331358 PECOS PAC ID: 1658465315 Enrollment ID: O20241107003318 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Erickson, 800 Bemidji Ave N, Bemidji, MN 56601-3054 Ph: (218) 308-2400 | Chad Erickson, 800 Bemidji Ave N, Bemidji, MN 56601-3054 Ph: (218) 308-2400 |
Dr. Hannah Moussa Vines, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-4820 | |
Zabrina Ebert, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-3280 | |
Dr. Elena Ivanova, DO Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 763-210-9808 | |
Dr. Ross E. Pettit, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-4968 |